DAVID ALLEN GOODWIN OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****20

License Status

NOT RENEWED

Business

First Name

DAVID

Middle

ALLEN

Last Name

GOODWIN

Suffix

Business Name

DAVID ALLEN GOODWIN OD

Original Issue Date

10/17/2003

Effective Date

03/15/2016

Expiration Date

03/31/2018

City

LINCOLNSHIRE

State

Zip

60069

County

LAKE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

06/19/2018