CLIFFORD KIRBY GOODWINE DMD - Dentist License in Illinois | # 019033025

CLIFFORD KIRBY GOODWINE DMD

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019033025

License Status

NOT RENEWED

Business

N

Title

DMD

First Name

CLIFFORD

Middle

KIRBY

Last Name

GOODWINE

Business Name

CLIFFORD KIRBY GOODWINE DMD

Original Issue Date

03/22/2021

Effective Date

10/04/2021

Expiration Date

09/30/2024

State

IL

Ever Disciplined

N

LastModifiedDate

02/04/2025