FREDERICK AUGUSTUS GODLEY IV MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036161610

License Status

ACTIVE

Business

Title

First Name

FREDERICK

Middle

AUGUSTUS

Last Name

GODLEY IV

Business Name

FREDERICK AUGUSTUS GODLEY IV MD

Original Issue Date

07/22/2022

Effective Date

04/06/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60637

County

COOK

Ever Disciplined

LastModifiedDate

04/06/2023