JENNIFER MILLER GODBOUT MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036168000

License Status

ACTIVE

Business

Title

First Name

JENNIFER

Middle

MILLER

Last Name

GODBOUT

Business Name

JENNIFER MILLER GODBOUT MD

Original Issue Date

12/18/2023

Effective Date

12/18/2023

Expiration Date

07/31/2026

City

YORKTOWN

State

Zip

23693

Ever Disciplined

LastModifiedDate

03/28/2024