KELLY ELIZABETH GOLDSMITH Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125076125

License Status

EXPIRED

Business

First Name

KELLY

Middle

ELIZABETH

Last Name

GOLDSMITH

Business Name

KELLY ELIZABETH GOLDSMITH

Original Issue Date

07/01/2020

Effective Date

07/01/2020

Expiration Date

06/30/2023

City

PEORIA

State

Zip

61605

County

PEORIA

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

03/06/2024