DANIEL GOLDBERG - Dentist License in Illinois | # 018002050

DANIEL GOLDBERG

Business Entity

EXPIRED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018002050

License Status

EXPIRED

Business

N

First Name

DANIEL

Last Name

GOLDBERG

Business Name

DANIEL GOLDBERG

Original Issue Date

08/28/2017

Effective Date

07/01/2017

Expiration Date

06/30/2018

State

IL

Specialty/Qualifier

General Practice Residency

Ever Disciplined

N

LastModifiedDate

10/25/2018