ROBERT D GOODWIN OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047935612

License Status

CANCELLED

Business

First Name

ROBERT

Middle

Last Name

GOODWIN

Suffix

Business Name

ROBERT D GOODWIN OD

Original Issue Date

08/18/2009

Effective Date

08/18/2009

Expiration Date

03/31/2010

City

BLOOMINGDALE

State

Zip

60108

County

DUPAGE

Ever Disciplined

LastModifiedDate

05/04/2010