PERPETUA T GOODALL Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036111077

License Status

ACTIVE

Business

First Name

PERPETUA

Middle

Last Name

GOODALL

Business Name

PERPETUA T GOODALL

Original Issue Date

03/23/2004

Effective Date

07/21/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60637

County

COOK

Ever Disciplined

LastModifiedDate

07/21/2023