KATHERINE ANNE GOODRICH
Physician Assistant Controlled Substance
Illinois 385003085 Inoperative
This Illinois license was held by KATHERINE ANNE GOODRICH. The license is no longer active. It was granted on 04/03/2012 and expired on 03/01/2016
LICENSE DETAILS
- License Number: 385003085
- Category: PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE
- Status: Inoperative
- Date Granted: 04/03/2012 (about 13 years ago)
- Expiry Date: 03/01/2016 (about 9 years ago)
LOCATIONS
A Address
Evanston, IL 60201-3210