MICHAEL JAMES GOSHORN DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036147446

License Status

NOT RENEWED

Business

Title

First Name

MICHAEL

Middle

JAMES

Last Name

GOSHORN

Business Name

MICHAEL JAMES GOSHORN DO

Original Issue Date

09/18/2018

Effective Date

09/18/2018

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60631

County

COOK

Ever Disciplined

LastModifiedDate

01/14/2021