DALE A GOODMAN MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036080972

License Status

INACTIVE

Business

First Name

DALE A

Last Name

GOODMAN

Suffix

Business Name

DALE A GOODMAN MD

Original Issue Date

07/14/1990

Effective Date

07/14/1990

Expiration Date

07/31/1993

City

CHICAGO

State

Zip

60614

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006