DONNA E GOODWIN Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020002855

License Status

INACTIVE

Business

First Name

DONNA E

Last Name

GOODWIN

Business Name

DONNA E GOODWIN

Original Issue Date

07/13/1976

Effective Date

08/27/2018

Expiration Date

12/31/2021

City

LIBERTYVILLE

State

Zip

60048

County

LAKE

Ever Disciplined

LastModifiedDate

09/12/2021