DENNIS S GOODMAN DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036147681

License Status

ACTIVE

Business

Title

First Name

DENNIS

Middle

Last Name

GOODMAN

Business Name

DENNIS S GOODMAN DO

Original Issue Date

11/01/2018

Effective Date

04/14/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

04/14/2023