STUART H GOODMAN DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****90

License Status

ACTIVE

Business

First Name

STUART

Middle

Last Name

GOODMAN

Suffix

DDS

Business Name

STUART H GOODMAN DDS

Original Issue Date

01/01/1998

Effective Date

05/11/2024

Expiration Date

09/30/2027

City

WAUKEGAN IL

State

Zip

60085

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/11/2024