ROSS JOHN GOODFELLOW Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036106520

License Status

INACTIVE

Business

First Name

ROSS

Middle

JOHN

Last Name

GOODFELLOW

Business Name

ROSS JOHN GOODFELLOW

Original Issue Date

03/15/2002

Effective Date

03/15/2002

Expiration Date

07/31/2005

City

LOMBARD

State

Zip

60149

County

DUPAGE

Ever Disciplined

LastModifiedDate

04/07/2010