MICHAEL JAMES GOSHORN DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****24

License Status

NOT RENEWED

Business

Title

First Name

MICHAEL

Middle

JAMES

Last Name

GOSHORN

Business Name

MICHAEL JAMES GOSHORN DO

Original Issue Date

09/18/2018

Effective Date

09/18/2018

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60631

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021