JORDAN A GOODMAN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****03

License Status

ACTIVE

Business

First Name

JORDAN A

Last Name

GOODMAN

Suffix

Business Name

JORDAN A GOODMAN MD

Original Issue Date

08/15/1990

Effective Date

06/08/2023

Expiration Date

07/31/2026

City

BOURBONNAIS

State

Zip

60914

County

KANKAKEE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/08/2023