H J GOOLSBY III MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036072403

License Status

NOT RENEWED

Business

First Name

H J

Last Name

GOOLSBY III

Suffix

Business Name

H J GOOLSBY III MD

Original Issue Date

03/13/1986

Effective Date

03/13/1986

Expiration Date

07/31/1987

City

NORTHFIELD

State

Zip

60093

County

COOK

Ever Disciplined

LastModifiedDate

09/17/2007