CHARLES H GOODMAN Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED SPECIALIST IN DENTISTRY

License Number

021001182

License Status

ACTIVE

Business

First Name

CHARLES H

Last Name

GOODMAN

Business Name

CHARLES H GOODMAN

Original Issue Date

11/02/1983

Effective Date

06/20/2024

Expiration Date

09/30/2027

City

CHICAGO

State

Zip

60657

County

COOK

Specialty/Qualifier

Periodontics

Ever Disciplined

LastModifiedDate

06/20/2024