MYLA DENISE GOLDMAN MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125039715

License Status

EXPIRED

Business

First Name

MYLA

Middle

DENISE

Last Name

GOLDMAN

Suffix

Business Name

MYLA DENISE GOLDMAN MD

Original Issue Date

07/01/1999

Effective Date

07/01/1999

Expiration Date

06/30/2000

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006