DANIEL GOLDBERG Dentist License verification

Business Entity

EXPIRED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018002050

License Status

EXPIRED

Business

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

City

CHICAGO

State

Zip

60657

Specialty/Qualifier

General Practice Residency

Ever Disciplined

LastModifiedDate

10/25/2018