NATALIA A GOOLEY MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125015481

License Status

EXPIRED

Business

First Name

NATALIA A

Last Name

GOOLEY

Suffix

Business Name

NATALIA A GOOLEY MD

Original Issue Date

06/15/1983

Effective Date

06/15/1983

Expiration Date

07/01/1985

City

SPRINGFIELD

State

Zip

62708

County

SANGAMON

Specialty/Qualifier

General Surgery

Ever Disciplined

LastModifiedDate

09/22/2006