MONIQUE T GODBOLD SANCHEZ 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

MONIQUE T

Middle

GODBOLD

Last Name

SANCHEZ

Suffix

Business Name

MONIQUE T GODBOLD SANCHEZ MD

Original Issue Date

11/08/2000

Effective Date

11/08/2000

Expiration Date

07/31/2002

City

PEORIA

State

Zip

61602

County

PEORIA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006