DAVID SPENCER GOODYEAR V MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036141202

License Status

ACTIVE

Business

Title

First Name

DAVID

Middle

SPENCER

Last Name

GOODYEAR

Suffix

Business Name

DAVID SPENCER GOODYEAR V MD

Original Issue Date

07/12/2016

Effective Date

05/26/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60622

County

COOK

Ever Disciplined

LastModifiedDate

05/26/2023