MARY J GODINICH MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125020145

License Status

EXPIRED

Business

First Name

MARY J

Last Name

GODINICH

Suffix

Business Name

MARY J GODINICH MD

Original Issue Date

07/16/1986

Effective Date

07/16/1986

Expiration Date

06/23/1990

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006