EVAN BESEY GOODMAN DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****94

License Status

NOT RENEWED

Business

First Name

EVAN

Middle

BESEY

Last Name

GOODMAN

Suffix

DDS

Business Name

EVAN BESEY GOODMAN DDS

Original Issue Date

01/01/1998

Effective Date

07/29/2009

Expiration Date

09/30/2012

City

LIBERTYVILLE

State

Zip

60048

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/14/2012