MATTHEW GODEFROY MICHAELS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036139260

License Status

NOT RENEWED

Business

Title

First Name

MATTHEW

Middle

GODEFROY

Last Name

MICHAELS

Business Name

MATTHEW GODEFROY MICHAELS MD

Original Issue Date

10/19/2015

Effective Date

10/19/2015

Expiration Date

07/31/2017

City

BRENTWOOD

State

Zip

37027

Ever Disciplined

LastModifiedDate

09/25/2019