ELI GOTTLIEB GOODMAN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****95

License Status

ACTIVE

Business

First Name

ELI

Middle

GOTTLIEB

Last Name

GOODMAN

Suffix

Business Name

ELI GOTTLIEB GOODMAN MD

Original Issue Date

04/21/2005

Effective Date

07/01/2023

Expiration Date

07/31/2026

City

TAYLORVILLE

State

Zip

62568

County

CHRISTIAN

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/01/2023