DANIEL LAURENCE GODFREY DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018002288

License Status

ACTIVE

Business

Title

DDS

First Name

DANIEL

Middle

LAURENCE

Last Name

GODFREY

Business Name

DANIEL LAURENCE GODFREY DDS

Original Issue Date

06/28/2024

Effective Date

07/01/2024

Expiration Date

06/30/2027

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Specialty/Qualifier

Oral and Maxillofacial Surgery

Ever Disciplined

LastModifiedDate

06/28/2024