ROGER FREDRIC GOODSPEED MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036039042

License Status

NOT RENEWED

Business

First Name

ROGER FREDRIC

Last Name

GOODSPEED

Suffix

Business Name

ROGER FREDRIC GOODSPEED MD

Original Issue Date

05/21/1964

Effective Date

05/21/1964

Expiration Date

07/31/1999

City

FREEPORT

State

Zip

61032

County

STEPHENSON

Ever Disciplined

LastModifiedDate

09/20/2006