PATRICIA L GOODEMOTE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****84

License Status

NOT RENEWED

Business

First Name

PATRICIA

Middle

Last Name

GOODEMOTE

Suffix

Business Name

PATRICIA L GOODEMOTE MD

Original Issue Date

07/15/2003

Effective Date

07/15/2003

Expiration Date

07/31/2008

City

BELLEVILLE

State

Zip

62220

County

SAINT CLAIR

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2011