GREG B GODFREY DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019028380

License Status

NOT RENEWED

Business

First Name

GREG

Middle

Last Name

GODFREY

Suffix

DDS

Business Name

GREG B GODFREY DDS

Original Issue Date

06/25/2010

Effective Date

06/25/2010

Expiration Date

09/30/2012

City

OQUAWKA

State

Zip

61469

County

HENDERSON

Ever Disciplined

LastModifiedDate

11/14/2012