SUSAN A GOODMAN Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020006712

License Status

ACTIVE

Business

First Name

SUSAN A

Last Name

GOODMAN

Business Name

SUSAN A GOODMAN

Original Issue Date

07/27/1988

Effective Date

09/29/2024

Expiration Date

09/30/2027

City

TOWANDA

State

Zip

61776

County

MCLEAN

Ever Disciplined

LastModifiedDate

09/29/2024