DONALD GOODWIN POLK MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036058179

License Status

NOT RENEWED

Business

First Name

DONALD GOODWIN

Last Name

POLK

Suffix

Business Name

DONALD GOODWIN POLK MD

Original Issue Date

11/20/1978

Effective Date

11/20/1978

Expiration Date

07/31/1999

City

CHICAGO

State

Zip

60653

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006