STEVEN D GOODRICH MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036082147

License Status

INACTIVE

Business

First Name

STEVEN D

Last Name

GOODRICH

Suffix

Business Name

STEVEN D GOODRICH MD

Original Issue Date

03/20/1992

Effective Date

03/20/1992

Expiration Date

07/31/1999

City

ALTON

State

Zip

62002

County

MADISON

Ever Disciplined

LastModifiedDate

09/20/2006