DANIELLE MARIE GODUTO DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125086411

License Status

ACTIVE

Business

Title

First Name

DANIELLE

Middle

MARIE

Last Name

GODUTO

Business Name

DANIELLE MARIE GODUTO DO

Original Issue Date

07/01/2025

Effective Date

07/01/2025

Expiration Date

06/30/2028

City

LA GRANGE

State

Zip

60525

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

06/08/2025