LOUIS B GOUDANIS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****35

License Status

NOT RENEWED

Business

First Name

LOUIS B

Last Name

GOUDANIS

Business Name

LOUIS B GOUDANIS

Original Issue Date

06/20/1988

Effective Date

09/29/2015

Expiration Date

09/30/2018

City

CHICAGO

State

Zip

60644

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/31/2018