KELLY JEAN GOEB MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****05

License Status

ACTIVE

Business

Title

First Name

KELLY

Middle

JEAN

Last Name

GOEB

Business Name

KELLY JEAN GOEB MD

Original Issue Date

03/20/2023

Effective Date

07/11/2023

Expiration Date

07/31/2026

City

MOOSE LAKE

State

Zip

55767

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/11/2023