DIANA J GOODMAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036134858

License Status

NOT RENEWED

Business

Title

First Name

DIANA

Middle

Last Name

GOODMAN

Business Name

DIANA J GOODMAN MD

Original Issue Date

03/24/2014

Effective Date

04/16/2014

Expiration Date

07/31/2017

City

PORTLAND

State

Zip

04101

County

MAINE

Ever Disciplined

LastModifiedDate

11/01/2017