RICHARD BRIAN GODING MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****69

License Status

NOT RENEWED

Business

Title

First Name

RICHARD

Middle

BRIAN

Last Name

GODING

Business Name

RICHARD BRIAN GODING MD

Original Issue Date

02/24/2014

Effective Date

05/14/2014

Expiration Date

07/31/2017

City

CHAMPAIGN

State

Zip

61820

County

CHAMPAIGN

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV

Ever Disciplined

LastModifiedDate

11/01/2017