JACK BORIS GOMBERG Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019007367

License Status

NOT RENEWED

Business

First Name

JACK BORIS

Last Name

GOMBERG

Business Name

JACK BORIS GOMBERG

Original Issue Date

08/01/1936

Effective Date

08/01/1936

Expiration Date

09/30/1988

City

EVANSTON

State

Zip

60201

County

COOK

Ever Disciplined

LastModifiedDate

10/12/2005