HEATHER R GODALE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****89

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

09/13/2012

Expiration Date

07/31/2014

City

AURORA

State

Zip

44202

County

OHIO

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020