WILLIAM GOODMAN MD 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

WILLIAM

Last Name

GOODMAN

Business Name

WILLIAM GOODMAN MD

Original Issue Date

05/14/2019

Effective Date

05/14/2019

Expiration Date

09/30/2020

City

JERSEYVILLE

State

Zip

62052

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021