GREGORY STEVEN GOODMAN Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020017375

License Status

NOT RENEWED

Business

First Name

GREGORY

Middle

STEVEN

Last Name

GOODMAN

Business Name

GREGORY STEVEN GOODMAN

Original Issue Date

08/09/2021

Effective Date

08/09/2021

Expiration Date

09/30/2024

City

CHAMPAIGN

State

Zip

61820

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

02/04/2025