DAVID SPENCER GOODYEAR V MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****00

License Status

ACTIVE

Business

Title

First Name

DAVID

Middle

SPENCER

Last Name

GOODYEAR

Suffix

Business Name

DAVID SPENCER GOODYEAR V MD

Original Issue Date

08/03/2016

Effective Date

05/26/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60642

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/26/2023