GARY E GOODIN DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125020002

License Status

EXPIRED

Business

First Name

GARY E

Last Name

GOODIN

Suffix

Business Name

GARY E GOODIN DO

Original Issue Date

07/07/1986

Effective Date

07/07/1986

Expiration Date

06/23/1989

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Anesthesiology

Ever Disciplined

LastModifiedDate

09/22/2006