MICHAEL JAMES GOSHORN DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125068084

License Status

CANCELLED

Business

Title

First Name

MICHAEL

Middle

JAMES

Last Name

GOSHORN

Business Name

MICHAEL JAMES GOSHORN DO

Original Issue Date

07/01/2016

Effective Date

07/01/2016

Expiration Date

06/30/2019

City

CHICAGO

State

Zip

60631

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

04/28/2016