SANDY L GOODMAN Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020011925

License Status

NOT RENEWED

Business

First Name

SANDY

Middle

Last Name

GOODMAN

Business Name

SANDY L GOODMAN

Original Issue Date

11/09/2006

Effective Date

12/31/2021

Expiration Date

09/30/2024

City

FLORA

State

Zip

62839

County

CLAY

Ever Disciplined

LastModifiedDate

02/04/2025