AMANDA ALEXIS GOODMAN Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019026365

License Status

NOT RENEWED

Business

First Name

AMANDA

Middle

ALEXIS

Last Name

GOODMAN

Business Name

AMANDA ALEXIS GOODMAN

Original Issue Date

03/31/2004

Effective Date

09/17/2021

Expiration Date

09/30/2024

City

TAMPA

State

Zip

33606

County

FLORIDA

Ever Disciplined

LastModifiedDate

02/04/2025