DONALD GOODWIN POLK MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****16

License Status

NOT RENEWED

Business

First Name

DONALD GOODWIN

Last Name

POLK

Suffix

Business Name

DONALD GOODWIN POLK MD

Original Issue Date

10/19/1990

Effective Date

10/19/1990

Expiration Date

07/31/1993

City

CHICAGO

State

Zip

60621

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006