DIANA GOODWINE MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036125142

License Status

ACTIVE

Business

Title

First Name

DIANA

Last Name

GOODWINE

Business Name

DIANA GOODWINE MD

Original Issue Date

03/09/2010

Effective Date

06/30/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60622

County

CALIFORNIA

Ever Disciplined

LastModifiedDate

03/18/2024