ANGELA ALICE GOLBY DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125045033

License Status

EXPIRED

Business

First Name

ANGELA

Middle

ALICE

Last Name

GOLBY

Suffix

Business Name

ANGELA ALICE GOLBY DO

Original Issue Date

07/01/2002

Effective Date

07/01/2002

Expiration Date

06/30/2004

City

PEORIA

State

Zip

61602

County

PEORIA

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006