JAY S GOSWICK DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036088186

License Status

NOT RENEWED

Business

First Name

JAY S

Last Name

GOSWICK

Suffix

Business Name

JAY S GOSWICK DO

Original Issue Date

03/28/1994

Effective Date

03/28/1994

Expiration Date

07/31/1999

City

MORRIS

State

Zip

60450

County

GRUNDY

Ever Disciplined

LastModifiedDate

09/20/2006