NATALIE GOODMAN CORREIA DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036112635

License Status

NOT RENEWED

Business

First Name

NATALIE

Middle

GOODMAN

Last Name

CORREIA

Suffix

Business Name

NATALIE GOODMAN CORREIA DO

Original Issue Date

11/09/2004

Effective Date

07/22/2014

Expiration Date

07/31/2017

City

BULL VALLEY

State

Zip

60098

County

MCHENRY

Ever Disciplined

LastModifiedDate

11/01/2017