IRA LEE GOODMAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036052268

License Status

NOT RENEWED

Business

First Name

IRA LEE

Last Name

GOODMAN

Suffix

Business Name

IRA LEE GOODMAN MD

Original Issue Date

01/16/1976

Effective Date

01/16/1976

City

PHOENIX

State

Zip

85014

County

ARIZONA

Ever Disciplined

LastModifiedDate

07/20/2010