CASEY JAMES GOODYEAR MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125075166

License Status

EXPIRED

Business

Title

First Name

CASEY

Middle

JAMES

Last Name

GOODYEAR

Business Name

CASEY JAMES GOODYEAR MD

Original Issue Date

07/01/2022

Effective Date

07/01/2022

Expiration Date

06/30/2024

City

PEORIA

State

Zip

61605

County

PEORIA

Specialty/Qualifier

General Surgery

Ever Disciplined

LastModifiedDate

10/30/2024