PHILIP K GOOD MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036082681

License Status

INACTIVE

Business

First Name

PHILIP K

Last Name

GOOD

Suffix

Business Name

PHILIP K GOOD MD

Original Issue Date

06/26/1991

Effective Date

04/17/2008

Expiration Date

07/31/2011

City

BLOOMINGTON

State

Zip

61701

County

MCLEAN

Ever Disciplined

LastModifiedDate

04/07/2011