CHARLES D GOODSITE DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****63

License Status

ACTIVE

Business

First Name

CHARLES D

Last Name

GOODSITE

Suffix

DDS

Business Name

CHARLES D GOODSITE DDS

Original Issue Date

10/12/2021

Effective Date

09/16/2024

Expiration Date

09/30/2027

City

PALATINE

State

Zip

60067

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/16/2024