DAVID ALLEN GOODWIN OD - Optometrist License in Illinois | # 047930108

DAVID ALLEN GOODWIN OD

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047930108

License Status

NOT RENEWED

Business

N

First Name

DAVID

Middle

ALLEN

Last Name

GOODWIN

Suffix

OD

Business Name

DAVID ALLEN GOODWIN OD

Original Issue Date

04/27/2004

Effective Date

04/27/2004

Expiration Date

03/31/2006

State

IL

Ever Disciplined

N

LastModifiedDate

05/11/2006