NICHOLAS W GOODMANSON MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036145879

License Status

ACTIVE

Business

Title

First Name

NICHOLAS

Middle

Last Name

GOODMANSON

Business Name

NICHOLAS W GOODMANSON MD

Original Issue Date

04/30/2018

Effective Date

07/23/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60647

County

COOK

Ever Disciplined

LastModifiedDate

07/23/2023