SAMUEL GOLDMAN Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036041130

License Status

NOT RENEWED

Business

First Name

SAMUEL

Last Name

GOLDMAN

Business Name

SAMUEL GOLDMAN

Original Issue Date

07/07/1967

Effective Date

07/07/1967

Expiration Date

07/31/1996

City

DEKALB

State

Zip

60115

County

DEKALB

Ever Disciplined

LastModifiedDate

09/20/2006