JEREMY S GOLDBERG DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019012604

License Status

NOT RENEWED

Business

First Name

JEREMY S

Last Name

GOLDBERG

Suffix

DDS

Business Name

JEREMY S GOLDBERG DDS

Original Issue Date

08/14/1964

Effective Date

05/25/2016

Expiration Date

09/30/2018

City

HIGHLAND PARK

State

Zip

60035

County

LAKE

Ever Disciplined

LastModifiedDate

10/31/2018