SANDRA JOAN MORRIS GOODSPEED Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****28

License Status

NOT RENEWED

Business

First Name

SANDRA JOAN

Last Name

MORRIS GOODSPEED

Business Name

SANDRA JOAN MORRIS GOODSPEED

Original Issue Date

08/31/1982

Effective Date

09/19/2012

Expiration Date

09/30/2015

City

CREST HILL

State

Zip

60403

County

WILL

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/08/2016