JEAN MARIE GOODLOE DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****55

License Status

ACTIVE

Business

Title

First Name

JEAN

Middle

MARIE

Last Name

GOODLOE

Business Name

JEAN MARIE GOODLOE DO

Original Issue Date

01/05/2016

Effective Date

05/02/2023

Expiration Date

07/31/2026

City

PEORIA

State

Zip

61636

County

PEORIA

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/22/2023