JAMES M GOODRICH PHD MD Medical Doctor License verification

JAMES M GOODRICH PHD MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****05

License Status

NOT RENEWED

Business

First Name

JAMES

Middle

Last Name

GOODRICH

Suffix

PHD MD

Business Name

JAMES M GOODRICH PHD MD

Original Issue Date

09/26/1996

Effective Date

09/26/1996

Expiration Date

07/31/2002

City

SPRINGFIELD

State

Zip

62701

County

SANGAMON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2011

Case Number

1996007832

Action

Probation

Discipline Start Date

09/20/1996

Discipline End Date

07/25/2003

Discipline Reason

History of chemical dependency.