DONNA GOODMAN Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020002871

License Status

NOT RENEWED

Business

First Name

DONNA

Last Name

GOODMAN

Business Name

DONNA GOODMAN

Original Issue Date

07/13/1976

Effective Date

07/13/1976

City

PEORIA

State

Zip

61614

County

PEORIA

Ever Disciplined

LastModifiedDate

10/12/2005