OLGA GOODMAN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****32

License Status

ACTIVE

Business

Title

First Name

OLGA

Last Name

GOODMAN

Business Name

OLGA GOODMAN MD

Original Issue Date

05/28/2015

Effective Date

06/30/2023

Expiration Date

07/31/2026

City

DES PLAINES

State

Zip

60016

County

WINNEBAGO

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/30/2023