STEPHEN LEWIS GOLDMAN MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036102898

License Status

INACTIVE

Business

First Name

STEPHEN

Middle

LEWIS

Last Name

GOLDMAN

Suffix

Business Name

STEPHEN LEWIS GOLDMAN MD

Original Issue Date

06/29/2000

Effective Date

04/12/2011

Expiration Date

07/31/2014

City

PONTE VEDRA BEACH

State

Zip

32082

County

FLORIDA

Ever Disciplined

LastModifiedDate

04/08/2014