ROGER RUSSELL GOOD MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036142557

License Status

NOT RENEWED

Business

Title

First Name

ROGER

Middle

RUSSELL

Last Name

GOOD

Business Name

ROGER RUSSELL GOOD MD

Original Issue Date

03/02/2017

Effective Date

07/27/2020

Expiration Date

07/31/2023

City

FAIRVIEW HEIGHTS

State

Zip

62208

Ever Disciplined

LastModifiedDate

11/30/2023