SAMUEL GOLDMAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****85

License Status

NOT RENEWED

Business

First Name

SAMUEL

Last Name

GOLDMAN

Suffix

Business Name

SAMUEL GOLDMAN MD

Original Issue Date

01/01/1997

Expiration Date

07/31/1996

City

DEKALB

State

Zip

60115

County

DEKALB

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006