RODMAN RANDALL GOLTRY DDS - Dentist License in Illinois | # 019015037

RODMAN RANDALL GOLTRY DDS

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019015037

License Status

INACTIVE

Business

N

Title

DDS

First Name

RODMAN

Middle

RANDALL

Last Name

GOLTRY

Business Name

RODMAN RANDALL GOLTRY DDS

Original Issue Date

08/13/1974

Effective Date

09/30/2004

Expiration Date

09/30/2006

State

IL

Ever Disciplined

N

LastModifiedDate

07/24/2006