CHARLES D GOODSITE DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****93

License Status

NOT RENEWED

Business

First Name

CHARLES D

Last Name

GOODSITE

Suffix

DDS

Business Name

CHARLES D GOODSITE DDS

Original Issue Date

07/23/1992

Effective Date

06/19/2018

Expiration Date

01/31/2022

City

SCHAUMBURG

State

Zip

60193

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/09/2022