ROGER LYLE GOODMAN D D S Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019014311

License Status

NOT RENEWED

Business

First Name

ROGER LYLE

Last Name

GOODMAN D D S

Business Name

ROGER LYLE GOODMAN D D S

Original Issue Date

07/12/1972

Effective Date

07/12/1972

Expiration Date

09/30/1984

City

OKEMOS

State

Zip

48864

County

MICHIGAN

Ever Disciplined

LastModifiedDate

10/12/2005