JEFFREY N GOODMAN Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125015020

License Status

EXPIRED

Business

First Name

JEFFREY

Middle

Last Name

GOODMAN

Business Name

JEFFREY N GOODMAN

Original Issue Date

10/18/1982

Effective Date

10/18/1982

Expiration Date

10/14/1984

City

CHICAGO

State

Zip

60615

County

COOK

Specialty/Qualifier

Family Practice & OMT

Ever Disciplined

LastModifiedDate

09/22/2006