DANIEL AARON GOODMAN MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125062069

License Status

CANCELLED

Business

Title

First Name

DANIEL

Middle

AARON

Last Name

GOODMAN

Business Name

DANIEL AARON GOODMAN MD

Original Issue Date

07/01/2015

Effective Date

07/01/2015

Expiration Date

06/30/2016

City

CHICAGO

State

Zip

60611

Specialty/Qualifier

Physical Medicine and Rehabilitation

Ever Disciplined

LastModifiedDate

02/19/2015