FARA E GOODMAN DVM Veterinarian License verification

Business Entity

NOT RENEWED

License Type

Veterinarian

Description

LICENSED VETERINARIAN CONTROLLED SUBSTANCE

License Number

39*****63

License Status

NOT RENEWED

Business

First Name

FARA

Middle

Last Name

GOODMAN

Suffix

DVM

Business Name

FARA E GOODMAN DVM

Original Issue Date

03/24/2009

Effective Date

10/05/2011

Expiration Date

01/31/2013

City

CHICAGO

State

Zip

60618

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/20/2013