CHARLES H GOODMAN - Dentist License in Illinois | # 021001182

CHARLES H GOODMAN

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED SPECIALIST IN DENTISTRY

License Number

021001182

License Status

ACTIVE

Business

N

First Name

CHARLES H

Last Name

GOODMAN

Business Name

CHARLES H GOODMAN

Original Issue Date

11/02/1983

Effective Date

06/20/2024

Expiration Date

09/30/2027

State

IL

Specialty/Qualifier

Periodontics

Ever Disciplined

N

LastModifiedDate

06/20/2024