DONALD T GODBOLD MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125022302

License Status

EXPIRED

Business

First Name

DONALD T

Last Name

GODBOLD

Suffix

Business Name

DONALD T GODBOLD MD

Original Issue Date

05/11/1988

Effective Date

05/11/1988

Expiration Date

07/01/1991

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

LastModifiedDate

09/22/2006