MALCOLM N GOODWIN JR MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****23

License Status

NOT RENEWED

Business

First Name

MALCOLM

Middle

Last Name

GOODWIN

Suffix

JR MD

Business Name

MALCOLM N GOODWIN JR MD

Original Issue Date

10/18/2001

Effective Date

10/24/2019

Expiration Date

07/31/2023

City

O FALLON

State

Zip

62269

County

SAINT CLAIR

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023