SAMUEL GOFFEN DDS Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019005768

License Status

INACTIVE

Business

First Name

SAMUEL

Last Name

GOFFEN

Suffix

DDS

Business Name

SAMUEL GOFFEN DDS

Original Issue Date

08/13/1929

Effective Date

08/13/1929

Expiration Date

09/30/1996

City

CHICAGO

State

Zip

60659

County

COOK

Ever Disciplined

LastModifiedDate

10/12/2005