KATHY E GOODMAN - Medical Doctor License in Virginia | # 036106148

KATHY E GOODMAN

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036106148

License Status

INACTIVE

Business

N

First Name

KATHY

Middle

E

Last Name

GOODMAN

Business Name

KATHY E GOODMAN

Original Issue Date

01/24/2002

Effective Date

07/26/2011

Expiration Date

07/31/2014

State

VA

Ever Disciplined

N

LastModifiedDate

04/08/2014