TERRY ALLEN GOODALE Optometrist License verification

Business Entity

ACTIVE

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****28

License Status

ACTIVE

Business

First Name

TERRY

Middle

ALLEN

Last Name

GOODALE

Business Name

TERRY ALLEN GOODALE

Original Issue Date

04/07/2020

Effective Date

03/14/2024

Expiration Date

03/31/2026

City

PEKIN

State

Zip

61554

County

TAZEWELL

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/08/2026