MARK DUANE GOODMAN MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125018883

License Status

EXPIRED

Business

First Name

MARK DUANE

Last Name

GOODMAN

Suffix

Business Name

MARK DUANE GOODMAN MD

Original Issue Date

07/17/1985

Effective Date

07/17/1985

Expiration Date

06/24/1988

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006