CHARLES MAWULI GODO MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****88

License Status

CANCELLED

Business

First Name

CHARLES

Middle

MAWULI

Last Name

GODO

Suffix

Business Name

CHARLES MAWULI GODO MD

Original Issue Date

02/06/2003

Effective Date

02/06/2003

Expiration Date

07/31/2005

City

CHICAGO

State

Zip

60612

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006