PHILLIP MARSHALL GOODMAN DDS - Dentist License in Michigan | # 019016191

PHILLIP MARSHALL GOODMAN DDS

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019016191

License Status

NOT RENEWED

Business

N

First Name

PHILLIP MARSHALL

Last Name

GOODMAN

Suffix

DDS

Business Name

PHILLIP MARSHALL GOODMAN DDS

Original Issue Date

01/19/1978

Effective Date

01/19/1978

State

MI

Ever Disciplined

N

LastModifiedDate

10/12/2005