PHILLIP MARSHALL GOODMAN DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019016191

License Status

NOT RENEWED

Business

First Name

PHILLIP MARSHALL

Last Name

GOODMAN

Suffix

DDS

Business Name

PHILLIP MARSHALL GOODMAN DDS

Original Issue Date

01/19/1978

Effective Date

01/19/1978

City

WEST BLOOMFIELD

State

Zip

48033

County

MICHIGAN

Ever Disciplined

LastModifiedDate

10/12/2005