DAFINA MENJEIWIE GOOD MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

LIMITED MEDICAL TEMPORARY PERMIT

License Number

130000632

License Status

EXPIRED

Business

First Name

DAFINA

Middle

MENJEIWIE

Last Name

GOOD

Suffix

Business Name

DAFINA MENJEIWIE GOOD MD

Original Issue Date

08/24/2004

Effective Date

08/24/2004

Expiration Date

02/23/2005

City

MABLETON

State

Zip

30126

Specialty/Qualifier

Dermatology

Ever Disciplined

LastModifiedDate

09/25/2006