STEPHEN ROY GOLDMAN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****74

License Status

ACTIVE

Business

First Name

STEPHEN

Middle

ROY

Last Name

GOLDMAN

Suffix

Business Name

STEPHEN ROY GOLDMAN MD

Original Issue Date

07/27/2006

Effective Date

05/05/2023

Expiration Date

07/31/2026

City

SYCAMORE

State

Zip

60178

County

DEKALB

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/05/2023