SAMUEL NATHAN GOODMAN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036146785

License Status

ACTIVE

Business

Title

First Name

SAMUEL

Middle

NATHAN

Last Name

GOODMAN

Business Name

SAMUEL NATHAN GOODMAN MD

Original Issue Date

07/05/2018

Effective Date

09/06/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60614

County

COOK

Ever Disciplined

LastModifiedDate

09/06/2023