DAVID A GOODMAN MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125017401

License Status

EXPIRED

Business

First Name

DAVID A

Last Name

GOODMAN

Suffix

Business Name

DAVID A GOODMAN MD

Original Issue Date

07/02/1984

Effective Date

07/02/1984

Expiration Date

08/01/1986

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Otolaryngology

Ever Disciplined

LastModifiedDate

09/22/2006