POLLY GODFREY MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036155636

License Status

ACTIVE

Business

Title

First Name

POLLY

Last Name

GODFREY

Business Name

POLLY GODFREY MD

Original Issue Date

02/16/2021

Effective Date

06/25/2023

Expiration Date

07/31/2026

City

EVANSTON

State

Zip

60201

Ever Disciplined

LastModifiedDate

06/25/2023