STUART H GOODMAN DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****19

License Status

NOT RENEWED

Business

First Name

STUART

Middle

Last Name

GOODMAN

Suffix

DDS

Business Name

STUART H GOODMAN DDS

Original Issue Date

05/08/2018

Effective Date

05/08/2018

Expiration Date

09/30/2018

City

WAUKEGAN

State

Zip

60085

County

LAKE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/31/2018