MELVIN GOODMAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036034796

License Status

NOT RENEWED

Business

First Name

MELVIN

Last Name

GOODMAN

Suffix

Business Name

MELVIN GOODMAN MD

Original Issue Date

08/15/1957

Effective Date

07/09/2014

Expiration Date

07/31/2017

City

CHICAGO

State

Zip

60610

County

COOK

Ever Disciplined

LastModifiedDate

11/01/2017