NATALIE GOODMAN CORREIA DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****13

License Status

NOT RENEWED

Business

First Name

NATALIE

Middle

GOODMAN

Last Name

CORREIA

Suffix

Business Name

NATALIE GOODMAN CORREIA DO

Original Issue Date

12/06/2004

Effective Date

07/22/2014

Expiration Date

07/31/2017

City

LONG GROVE

State

Zip

60047

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017