KATHY E GOODMAN Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036106148

License Status

INACTIVE

Business

First Name

KATHY

Middle

Last Name

GOODMAN

Business Name

KATHY E GOODMAN

Original Issue Date

01/24/2002

Effective Date

07/26/2011

Expiration Date

07/31/2014

City

HAMPTON

State

Zip

23364

County

VIRGINIA

Ever Disciplined

LastModifiedDate

04/08/2014