TERRY ALLEN GOODALE Optometrist License verification

Business Entity

ACTIVE

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****05

License Status

ACTIVE

Business

First Name

TERRY

Middle

ALLEN

Last Name

GOODALE

Business Name

TERRY ALLEN GOODALE

Original Issue Date

10/28/2013

Effective Date

03/17/2026

Expiration Date

03/31/2028

City

PEORIA

State

Zip

61615

County

PEORIA

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

03/17/2026