BRIAN A GOOD DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****75

License Status

NOT RENEWED

Business

First Name

BRIAN

Middle

Last Name

GOOD

Suffix

DMD

Business Name

BRIAN A GOOD DMD

Original Issue Date

06/11/2007

Effective Date

08/12/2019

Expiration Date

01/31/2022

City

BIGGSVILLE

State

Zip

61418

County

HENDERSON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

05/09/2022