DAVID ALLEN GOODWIN OD - Optometrist License in Illinois | # 047934086

DAVID ALLEN GOODWIN OD

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047934086

License Status

CANCELLED

Business

N

First Name

DAVID

Middle

ALLEN

Last Name

GOODWIN

Suffix

OD

Business Name

DAVID ALLEN GOODWIN OD

Original Issue Date

04/09/2008

Effective Date

04/09/2008

Expiration Date

03/31/2010

State

IL

Ever Disciplined

N

LastModifiedDate

05/04/2010