NEVENKA S GOULD MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****96

License Status

NOT RENEWED

Business

First Name

NEVENKA S

Last Name

GOULD

Suffix

Business Name

NEVENKA S GOULD MD

Original Issue Date

02/26/1996

Effective Date

05/23/2008

Expiration Date

07/31/2011

City

CHICAGO

State

Zip

60616

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/10/2011