JORDAN A GOODMAN MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125022790

License Status

EXPIRED

Business

First Name

JORDAN A

Last Name

GOODMAN

Suffix

Business Name

JORDAN A GOODMAN MD

Original Issue Date

06/16/1988

Effective Date

06/16/1988

Expiration Date

07/01/1991

City

CHICAGO

State

Zip

60640

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006