MARK J GOODWIN MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125013313

License Status

EXPIRED

Business

First Name

MARK J

Last Name

GOODWIN

Suffix

Business Name

MARK J GOODWIN MD

Original Issue Date

07/14/1981

Effective Date

07/14/1981

Expiration Date

06/22/1983

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006