DALE A GOODMAN MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125022332

License Status

EXPIRED

Business

First Name

DALE A

Last Name

GOODMAN

Suffix

Business Name

DALE A GOODMAN MD

Original Issue Date

05/13/1988

Effective Date

05/13/1988

Expiration Date

06/27/1991

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Anesthesiology

Ever Disciplined

LastModifiedDate

09/22/2006