WILLIAM A GOODFELLOW MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****04

License Status

NOT RENEWED

Business

First Name

WILLIAM A

Last Name

GOODFELLOW

Suffix

Business Name

WILLIAM A GOODFELLOW MD

Original Issue Date

10/15/1991

Effective Date

07/27/2017

Expiration Date

09/30/2020

City

WHEATON

State

Zip

60187

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021