EMILY M GODFREY Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036101057

License Status

NOT RENEWED

Business

First Name

EMILY

Middle

Last Name

GODFREY

Business Name

EMILY M GODFREY

Original Issue Date

08/18/1999

Effective Date

07/07/2011

Expiration Date

07/31/2014

City

CHICAGO

State

Zip

60612

County

COOK

Ever Disciplined

LastModifiedDate

11/17/2014