ALEXANDER GOLDMAN Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****69

License Status

CANCELLED

Business

First Name

ALEXANDER

Last Name

GOLDMAN

Business Name

ALEXANDER GOLDMAN

Original Issue Date

04/18/2002

Effective Date

04/18/2002

Expiration Date

07/31/2005

City

OAK PARK

State

Zip

60302

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006