COLIN DOUGLAS GOODMAN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036147614

License Status

ACTIVE

Business

Title

First Name

COLIN

Middle

DOUGLAS

Last Name

GOODMAN

Business Name

COLIN DOUGLAS GOODMAN MD

Original Issue Date

10/19/2018

Effective Date

05/02/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60612

County

COOK

Ever Disciplined

LastModifiedDate

05/02/2023