PATRICK O GODWIN MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125036330

License Status

CANCELLED

Business

First Name

PATRICK

Middle

Last Name

GODWIN

Suffix

Business Name

PATRICK O GODWIN MD

Original Issue Date

05/27/1997

Effective Date

05/27/1997

Expiration Date

06/30/2000

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006