TAARIQ ABDULLAH GODER MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****26

License Status

ACTIVE

Business

Title

First Name

TAARIQ

Middle

ABDULLAH

Last Name

GODER

Business Name

TAARIQ ABDULLAH GODER MD

Original Issue Date

12/01/2016

Effective Date

05/02/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60625

County

PEORIA

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/02/2023