BODIE K GODWIN OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****90

License Status

NOT RENEWED

Business

First Name

BODIE

Middle

Last Name

GODWIN

Suffix

Business Name

BODIE K GODWIN OD

Original Issue Date

04/26/2021

Effective Date

03/17/2022

Expiration Date

03/31/2024

City

AURORA

State

Zip

60502

County

DUPAGE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

02/05/2025