PENNY S GOZIA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****81

License Status

NOT RENEWED

Business

First Name

PENNY S

Last Name

GOZIA

Suffix

Business Name

PENNY S GOZIA MD

Original Issue Date

04/15/1982

Effective Date

06/05/2017

Expiration Date

09/30/2020

City

BREESE

State

Zip

62230

County

CLINTON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021