MALCOLM N GOODWIN JR MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036085534

License Status

NOT RENEWED

Business

First Name

MALCOLM

Middle

Last Name

GOODWIN

Suffix

JR MD

Business Name

MALCOLM N GOODWIN JR MD

Original Issue Date

10/24/1992

Effective Date

04/01/2020

Expiration Date

07/31/2023

City

OFALLON

State

Zip

62269

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

11/30/2023