ROBERT A GOLDBERG DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018001064

License Status

NOT RENEWED

Business

First Name

ROBERT

Middle

Last Name

GOLDBERG

Suffix

DDS

Business Name

ROBERT A GOLDBERG DDS

Original Issue Date

08/06/1997

Effective Date

08/06/1997

Expiration Date

07/01/1998

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

General Practice Residency

Ever Disciplined

LastModifiedDate

10/12/2005