RODMAN RANDALL GOLTRY DDS Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019015037

License Status

INACTIVE

Business

Title

DDS

First Name

RODMAN

Middle

RANDALL

Last Name

GOLTRY

Business Name

RODMAN RANDALL GOLTRY DDS

Original Issue Date

08/13/1974

Effective Date

09/30/2004

Expiration Date

09/30/2006

City

HUNTLEY

State

Zip

60142

County

KANE

Ever Disciplined

LastModifiedDate

07/24/2006