RAPHAEL V GOLDSTEIN DDS - Dentist License in Illinois | # 018000366

RAPHAEL V GOLDSTEIN DDS

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018000366

License Status

NOT RENEWED

Business

N

First Name

RAPHAEL V

Last Name

GOLDSTEIN

Suffix

DDS

Business Name

RAPHAEL V GOLDSTEIN DDS

Original Issue Date

06/22/1989

Effective Date

06/22/1989

Expiration Date

06/30/1990

State

IL

Specialty/Qualifier

General Practice Residency

Ever Disciplined

N

LastModifiedDate

10/12/2005