MARK J GOODWIN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****73

License Status

ACTIVE

Business

First Name

MARK J

Last Name

GOODWIN

Suffix

Business Name

MARK J GOODWIN MD

Original Issue Date

09/12/1986

Effective Date

04/14/2023

Expiration Date

07/31/2026

City

NAPERVILLE

State

Zip

60540

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/14/2023