GEORGE EDWARD GOODMAN Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****96

License Status

NOT RENEWED

Business

First Name

GEORGE

Middle

EDWARD

Last Name

GOODMAN

Business Name

GEORGE EDWARD GOODMAN

Original Issue Date

07/30/2007

Effective Date

03/11/2010

Expiration Date

03/31/2012

City

ARLINGTON HEIGHTS

State

Zip

60004

County

COOK

Specialty/Qualifier

HOSPITAL/CLINIC

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

05/16/2012