DAVID J GOETTEN DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****56

License Status

ACTIVE

Business

First Name

DAVID J

Last Name

GOETTEN

Suffix

DMD

Business Name

DAVID J GOETTEN DMD

Original Issue Date

03/24/1993

Effective Date

05/08/2024

Expiration Date

09/30/2027

City

JERSEYVILLE

State

Zip

62052

County

JERSEY

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/08/2024