DAVID ALLEN GOODWIN OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047934086

License Status

CANCELLED

Business

First Name

DAVID

Middle

ALLEN

Last Name

GOODWIN

Suffix

Business Name

DAVID ALLEN GOODWIN OD

Original Issue Date

04/09/2008

Effective Date

04/09/2008

Expiration Date

03/31/2010

City

MOUNT PROSPECT

State

Zip

60056

County

COOK

Ever Disciplined

LastModifiedDate

05/04/2010