CHRISTOPHER BRIAN GOODAVISH Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085008968

License Status

ACTIVE

Business

First Name

CHRISTOPHER

Middle

BRIAN

Last Name

GOODAVISH

Business Name

CHRISTOPHER BRIAN GOODAVISH

Original Issue Date

05/12/2022

Effective Date

01/05/2026

Expiration Date

03/01/2028

City

VERONA

State

Zip

53593

Ever Disciplined

LastModifiedDate

01/05/2026