MICHAEL D GOODMAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036048593

License Status

NOT RENEWED

Business

First Name

MICHAEL D

Last Name

GOODMAN

Suffix

Business Name

MICHAEL D GOODMAN MD

Original Issue Date

01/23/1974

Effective Date

01/23/1974

Expiration Date

07/31/1984

City

SANTA MONICA

State

Zip

90401

County

CALIFORNIA

Ever Disciplined

LastModifiedDate

09/20/2006