HAROLD GOODMAN MD

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****35

NOT RENEWED

N

HAROLD

GOODMAN

MD

HAROLD GOODMAN MD

01/01/1997

04/17/2008

07/31/2011

EVANSTON

IL

60202

COOK

II III IV V

N

11/10/2011