ERICKA LYNN GOODWIN MD - Medical Doctor License in Georgia | # 33*****71

ERICKA LYNN GOODWIN MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****71

License Status

NOT RENEWED

Business

N

Title

MD

First Name

ERICKA

Middle

LYNN

Last Name

GOODWIN

Business Name

ERICKA LYNN GOODWIN MD

Original Issue Date

07/31/2015

Effective Date

07/31/2015

Expiration Date

07/31/2017

State

GA

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

N

LastModifiedDate

11/01/2017