CHELAIN RAE GOODMAN MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125067968

License Status

CANCELLED

Business

Title

First Name

CHELAIN

Middle

RAE

Last Name

GOODMAN

Business Name

CHELAIN RAE GOODMAN MD

Original Issue Date

07/01/2016

Effective Date

07/01/2016

Expiration Date

06/30/2019

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Radiation Oncology

Ever Disciplined

LastModifiedDate

02/24/2016