DAVID ALLEN GOODWIN OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047930108

License Status

NOT RENEWED

Business

First Name

DAVID

Middle

ALLEN

Last Name

GOODWIN

Suffix

Business Name

DAVID ALLEN GOODWIN OD

Original Issue Date

04/27/2004

Effective Date

04/27/2004

Expiration Date

03/31/2006

City

WHEELING

State

Zip

60090

County

COOK

Ever Disciplined

LastModifiedDate

05/11/2006