MARK NORMAN GOODMAN MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125045816

License Status

EXPIRED

Business

First Name

MARK

Middle

NORMAN

Last Name

GOODMAN

Suffix

Business Name

MARK NORMAN GOODMAN MD

Original Issue Date

05/01/2003

Effective Date

05/01/2003

Expiration Date

06/30/2006

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Anesthesiology

Ever Disciplined

LastModifiedDate

09/22/2006