EVAN ROSS GOODMAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036149710

License Status

NOT RENEWED

Business

Title

First Name

EVAN

Middle

ROSS

Last Name

GOODMAN

Business Name

EVAN ROSS GOODMAN MD

Original Issue Date

06/15/2019

Effective Date

06/15/2019

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60637

County

COOK

Ever Disciplined

LastModifiedDate

01/14/2021