LINDZY NICOLE GOODMAN DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****92

License Status

NOT RENEWED

Business

Title

DMD

First Name

LINDZY

Middle

NICOLE

Last Name

GOODMAN

Business Name

LINDZY NICOLE GOODMAN DMD

Original Issue Date

08/10/2017

Effective Date

08/10/2017

Expiration Date

09/30/2018

City

BROOKLYN

State

Zip

11216

County

NEW YORK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/31/2018