RICHARD S GOULD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036111406

License Status

NOT RENEWED

Business

First Name

RICHARD

Middle

Last Name

GOULD

Business Name

RICHARD S GOULD

Original Issue Date

05/24/2004

Effective Date

07/31/2006

Expiration Date

07/31/2008

City

LAWRENCE

State

Zip

66047

County

COOK

Ever Disciplined

LastModifiedDate

11/06/2008