LEANN L GODWIN Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020015958

License Status

ACTIVE

Business

First Name

LEANN

Middle

Last Name

GODWIN

Business Name

LEANN L GODWIN

Original Issue Date

08/14/2017

Effective Date

09/12/2024

Expiration Date

09/30/2027

City

DELAVAN

State

Zip

61734

County

TAZEWELL

Ever Disciplined

LastModifiedDate

09/12/2024