BRIAN A GOOD DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****83

License Status

ACTIVE

Business

First Name

BRIAN

Middle

Last Name

GOOD

Suffix

DMD

Business Name

BRIAN A GOOD DMD

Original Issue Date

09/04/2019

Effective Date

05/06/2024

Expiration Date

09/30/2027

City

BIGGSVILLE

State

Zip

61418

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV

Ever Disciplined

LastModifiedDate

05/06/2024