HEATHER R GODALE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036131385

License Status

NOT RENEWED

Business

Title

First Name

HEATHER

Middle

Last Name

GODALE

Business Name

HEATHER R GODALE MD

Original Issue Date

09/13/2012

Effective Date

04/12/2017

Expiration Date

09/30/2020

City

AURORA

State

Zip

44202

County

OHIO

Ever Disciplined

LastModifiedDate

01/14/2021