RODMAN RANDALL GOLTRY DDS Dentist License verification

Business Entity

CANCELLED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****51

License Status

CANCELLED

Business

Title

DDS

First Name

RODMAN

Middle

RANDALL

Last Name

GOLTRY

Business Name

RODMAN RANDALL GOLTRY DDS

Original Issue Date

01/01/1998

Expiration Date

09/30/2006

City

HUNTLEY

State

Zip

60142

County

KANE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/24/2006