DENNIS E GODAR 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

DENNIS E

Last Name

GODAR

Business Name

DENNIS E GODAR

Original Issue Date

08/19/1982

Effective Date

08/19/1982

Expiration Date

09/30/1986

City

COLLINSVILLE

State

Zip

62234

County

MADISON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005