SUSAN L GOODE FRIEDMAN Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****58

License Status

NOT RENEWED

Business

First Name

SUSAN L GOODE

Last Name

FRIEDMAN

Business Name

SUSAN L GOODE FRIEDMAN

Original Issue Date

08/28/1986

Effective Date

08/28/1986

Expiration Date

09/30/1988

City

NORTHBROOK

State

Zip

60062

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005