JEREMY S GOLDBERG DDS - Dentist License in Illinois | # 019012604

JEREMY S GOLDBERG DDS

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019012604

License Status

NOT RENEWED

Business

N

First Name

JEREMY S

Last Name

GOLDBERG

Suffix

DDS

Business Name

JEREMY S GOLDBERG DDS

Original Issue Date

08/14/1964

Effective Date

05/25/2016

Expiration Date

09/30/2018

State

IL

Ever Disciplined

N

LastModifiedDate

10/31/2018