STEPHEN J GOLDMAN DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****24

License Status

ACTIVE

Business

Title

First Name

STEPHEN

Middle

Last Name

GOLDMAN

Business Name

STEPHEN J GOLDMAN DO

Original Issue Date

08/31/2016

Effective Date

07/27/2023

Expiration Date

07/31/2026

City

ALEDO

State

Zip

61231

County

MERCER

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/27/2023