EVERETT GOODWIN JR Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019008646

License Status

NOT RENEWED

Business

First Name

EVERETT

Last Name

GOODWIN JR

Business Name

EVERETT GOODWIN JR

Original Issue Date

06/07/1944

Effective Date

06/07/1944

Expiration Date

09/30/1984

City

DECATUR

State

Zip

62522

County

MACON

Ever Disciplined

LastModifiedDate

10/12/2005