STEPHEN GOODMAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036058050

License Status

NOT RENEWED

Business

First Name

STEPHEN

Last Name

GOODMAN

Suffix

Business Name

STEPHEN GOODMAN MD

Original Issue Date

11/20/1978

Effective Date

11/20/1978

Expiration Date

07/31/1987

City

CHICAGO

State

Zip

60657

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006