LARRY JAY GOODMAN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036056528

License Status

ACTIVE

Business

First Name

LARRY JAY

Last Name

GOODMAN

Suffix

Business Name

LARRY JAY GOODMAN MD

Original Issue Date

03/14/1978

Effective Date

06/06/2023

Expiration Date

07/31/2026

City

OAK PARK

State

Zip

60302

County

COOK

Ever Disciplined

LastModifiedDate

06/06/2023