SANDRA R GODDARD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020003118

License Status

NOT RENEWED

Business

First Name

SANDRA R

Last Name

GODDARD

Business Name

SANDRA R GODDARD

Original Issue Date

06/09/1977

Effective Date

09/30/2004

Expiration Date

09/30/2006

City

GIBSONTON

State

Zip

33534

County

FLORIDA

Ever Disciplined

LastModifiedDate

11/08/2006