ALLAN LEE GOODMAN MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036057113

License Status

INACTIVE

Business

First Name

ALLAN LEE

Last Name

GOODMAN

Suffix

Business Name

ALLAN LEE GOODMAN MD

Original Issue Date

07/24/1978

Effective Date

04/25/2011

Expiration Date

07/31/2014

City

SCOTTSDALE

State

Zip

85255

Ever Disciplined

LastModifiedDate

04/08/2014