DENNIS S GOODMAN DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****94

License Status

ACTIVE

Business

Title

First Name

DENNIS

Middle

Last Name

GOODMAN

Business Name

DENNIS S GOODMAN DO

Original Issue Date

11/01/2018

Effective Date

08/03/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60611

County

MISSOURI

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/03/2023