DANIEL W GAUTHIER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****31

License Status

NOT RENEWED

Business

First Name

DANIEL W

Last Name

GAUTHIER

Suffix

Business Name

DANIEL W GAUTHIER MD

Original Issue Date

09/24/1990

Effective Date

04/18/2014

Expiration Date

07/31/2017

City

WILD ROSE

State

Zip

54984

County

WISCONSIN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017