AMANDA ALEXIS GOODMAN Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED SPECIALIST IN DENTISTRY

License Number

021002124

License Status

NOT RENEWED

Business

First Name

AMANDA

Middle

ALEXIS

Last Name

GOODMAN

Business Name

AMANDA ALEXIS GOODMAN

Original Issue Date

11/10/2004

Effective Date

10/22/2021

Expiration Date

09/30/2024

City

TAMPA

State

Zip

33606

County

FLORIDA

Specialty/Qualifier

ENDODONTICS

Ever Disciplined

LastModifiedDate

02/04/2025