POLLY GODFREY MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****16

License Status

ACTIVE

Business

Title

First Name

POLLY

Last Name

GODFREY

Business Name

POLLY GODFREY MD

Original Issue Date

02/18/2021

Effective Date

06/25/2023

Expiration Date

07/31/2026

City

MINNEAPOLIS

State

Zip

55455

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/25/2023