CLIFFORD KIRBY GOODWINE DMD - Dentist License in Illinois | # 021003152

CLIFFORD KIRBY GOODWINE DMD

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED SPECIALIST IN DENTISTRY

License Number

021003152

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

12/08/2021

Effective Date

12/08/2021

Expiration Date

09/30/2024

State

IL

Specialty/Qualifier

PEDIATRIC DENTISTRY

Ever Disciplined

N

LastModifiedDate

02/04/2025