ALAN A GODEL DDS

Business Entity
NOT RENEWED

Dentist

LICENSED DENTIST CONTROLLED SUBSTANCE

31*****33

NOT RENEWED

N

ALAN

A

GODEL

DDS

ALAN A GODEL DDS

02/10/1997

02/10/1997

09/30/2004

CHICAGO

IL

60659

COOK

II III IV V

N

10/17/2005