JERRY LYNN GODDARD MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036054846

License Status

ACTIVE

Business

First Name

JERRY LYNN

Last Name

GODDARD

Suffix

Business Name

JERRY LYNN GODDARD MD

Original Issue Date

07/18/1977

Effective Date

04/14/2023

Expiration Date

07/31/2026

City

CARBONDALE

State

Zip

62901

County

UNION

Ever Disciplined

LastModifiedDate

04/14/2023