DONALD T GODBOLD MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****65

License Status

NOT RENEWED

Business

First Name

DONALD T

Last Name

GODBOLD

Suffix

Business Name

DONALD T GODBOLD MD

Original Issue Date

08/04/1993

Effective Date

08/04/1993

Expiration Date

07/31/1996

City

CHICAGO

State

Zip

60640

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/12/2017