TAARIQ ABDULLAH GODER MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125065180

License Status

CANCELLED

Business

Title

First Name

TAARIQ

Middle

ABDULLAH

Last Name

GODER

Business Name

TAARIQ ABDULLAH GODER MD

Original Issue Date

07/01/2014

Effective Date

07/01/2014

Expiration Date

06/30/2017

City

MORTON

State

Zip

61550

County

TAZEWELL

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

06/10/2014