DAVID ALLEN GOODWIN OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047006848

License Status

NOT RENEWED

Business

First Name

DAVID

Middle

ALLEN

Last Name

GOODWIN

Suffix

Business Name

DAVID ALLEN GOODWIN OD

Original Issue Date

06/16/1987

Expiration Date

03/31/1988

City

AURORA

State

Zip

60504

County

DUPAGE

Ever Disciplined

LastModifiedDate

09/01/2005