GERALD WILLIAM GODFREY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036109617

License Status

NOT RENEWED

Business

First Name

GERALD

Middle

WILLIAM

Last Name

GODFREY

Suffix

Business Name

GERALD WILLIAM GODFREY MD

Original Issue Date

07/01/2003

Effective Date

07/31/2006

Expiration Date

07/31/2008

City

BARGERSVILLE

State

Zip

46106

Ever Disciplined

LastModifiedDate

11/06/2008