DANIEL M GOLDFADEN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036068528

License Status

NOT RENEWED

Business

First Name

DANIEL M

Last Name

GOLDFADEN

Suffix

Business Name

DANIEL M GOLDFADEN MD

Original Issue Date

04/12/1984

Effective Date

04/12/1984

Expiration Date

07/31/1987

City

OAK PARK

State

Zip

60302

County

MICHIGAN

Ever Disciplined

LastModifiedDate

09/20/2006