MARK DUANE GOODMAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036073862

License Status

NOT RENEWED

Business

First Name

MARK DUANE

Last Name

GOODMAN

Suffix

Business Name

MARK DUANE GOODMAN MD

Original Issue Date

10/01/1986

Effective Date

10/01/1986

Expiration Date

07/31/1990

City

CHICAGO

State

Zip

60613

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006