DAVID MICHAEL GODFREY MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125046547

License Status

EXPIRED

Business

First Name

DAVID

Middle

MICHAEL

Last Name

GODFREY

Suffix

Business Name

DAVID MICHAEL GODFREY MD

Original Issue Date

06/23/2003

Effective Date

06/23/2003

Expiration Date

06/22/2004

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

General Surgery

Ever Disciplined

LastModifiedDate

09/22/2006