CLIFFORD KIRBY GOODWINE DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019033025

License Status

NOT RENEWED

Business

Title

DMD

First Name

CLIFFORD

Middle

KIRBY

Last Name

GOODWINE

Business Name

CLIFFORD KIRBY GOODWINE DMD

Original Issue Date

03/22/2021

Effective Date

10/04/2021

Expiration Date

09/30/2024

City

CHICAGO

State

Zip

60607

County

COOK

Ever Disciplined

LastModifiedDate

02/04/2025