DAVID A GOODMAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****09

License Status

NOT RENEWED

Business

First Name

DAVID A

Last Name

GOODMAN

Suffix

Business Name

DAVID A GOODMAN MD

Original Issue Date

02/18/1987

Effective Date

02/18/1987

Expiration Date

07/31/2008

City

CRYSTAL LAKE

State

Zip

60014

County

MCHENRY

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020