MATTHEW LAWRENCE GOODWIN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036154681

License Status

ACTIVE

Business

Title

First Name

MATTHEW

Middle

LAWRENCE

Last Name

GOODWIN

Business Name

MATTHEW LAWRENCE GOODWIN MD

Original Issue Date

11/04/2020

Effective Date

04/08/2023

Expiration Date

07/31/2026

City

ST. LOUIS

State

Zip

63110

Ever Disciplined

LastModifiedDate

04/08/2023