ALEXIS MARCELLE GOSS DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

VISITING RESIDENT

License Number

188000976

License Status

EXPIRED

Business

Title

First Name

ALEXIS

Middle

MARCELLE

Last Name

GOSS

Business Name

ALEXIS MARCELLE GOSS DO

Original Issue Date

05/15/2022

Effective Date

05/15/2022

Expiration Date

11/14/2022

City

ROCKFORD

State

Zip

61108

Specialty/Qualifier

Trauma Rotation

Ever Disciplined

LastModifiedDate

02/15/2023