DUSTY GOODMAN - Physician Assistant License in Illinois | # 085007087

DUSTY GOODMAN

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085007087

License Status

ACTIVE

Business

N

First Name

DUSTY

Last Name

GOODMAN

Business Name

DUSTY GOODMAN

Original Issue Date

06/24/2019

Effective Date

02/04/2026

Expiration Date

03/01/2028

State

IL

Ever Disciplined

N

LastModifiedDate

02/04/2026