BONNIE ANN GOODMAN DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036063597

License Status

NOT RENEWED

Business

First Name

BONNIE ANN

Last Name

GOODMAN

Suffix

Business Name

BONNIE ANN GOODMAN DO

Original Issue Date

11/23/1981

Effective Date

11/23/1981

Expiration Date

07/31/1987

City

PHOENIX

State

Zip

85016

County

ARIZONA

Ever Disciplined

LastModifiedDate

09/20/2006