MARK L GOODE MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****11

License Status

ACTIVE

Business

First Name

MARK L

Last Name

GOODE

Suffix

Business Name

MARK L GOODE MD

Original Issue Date

12/28/1994

Effective Date

04/19/2023

Expiration Date

07/31/2026

City

FOREST PARK

State

Zip

60130

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/19/2023