ROBERT D GOODWIN OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****01

License Status

NOT RENEWED

Business

First Name

ROBERT

Middle

Last Name

GOODWIN

Suffix

Business Name

ROBERT D GOODWIN OD

Original Issue Date

02/29/2012

Effective Date

03/28/2014

Expiration Date

03/31/2016

City

NAPERVILLE

State

Zip

60564

County

WILL

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

05/20/2016