JOHN SAMUEL GOIN Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****10

License Status

NOT RENEWED

Business

First Name

JOHN SAMUEL

Last Name

GOIN

Business Name

JOHN SAMUEL GOIN

Original Issue Date

01/01/1998

Expiration Date

09/30/1998

City

CHAMPAIGN

State

Zip

61820

County

CHAMPAIGN

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

10/13/2005