STEVEN D GOODRICH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****57

License Status

NOT RENEWED

Business

First Name

STEVEN D

Last Name

GOODRICH

Suffix

Business Name

STEVEN D GOODRICH MD

Original Issue Date

11/22/1995

Effective Date

11/22/1995

Expiration Date

07/31/1999

City

ALTON

State

Zip

62002

County

MADISON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006