PHIL GOODMAN DDS Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019015041

License Status

INACTIVE

Business

First Name

PHIL

Last Name

GOODMAN

Suffix

DDS

Business Name

PHIL GOODMAN DDS

Original Issue Date

10/21/1974

Effective Date

10/21/1974

Expiration Date

09/30/1990

City

WALNUT CREEK

State

Zip

94595

County

CALIFORNIA

Ever Disciplined

LastModifiedDate

10/12/2005