SHAUN MICHAEL GOODWIN MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036134264

License Status

INACTIVE

Business

Title

First Name

SHAUN

Middle

MICHAEL

Last Name

GOODWIN

Business Name

SHAUN MICHAEL GOODWIN MD

Original Issue Date

12/03/2013

Effective Date

05/29/2014

Expiration Date

07/31/2017

City

MINNEAPOLIS

State

Zip

55401

Ever Disciplined

LastModifiedDate

12/14/2017