LANCE GEOFFREY GOLDSTEIN DDS Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019015124

License Status

INACTIVE

Business

First Name

LANCE GEOFFREY

Last Name

GOLDSTEIN

Suffix

DDS

Business Name

LANCE GEOFFREY GOLDSTEIN DDS

Original Issue Date

07/10/1975

Effective Date

07/10/1975

Expiration Date

09/30/1994

City

OLYMPIA FIELDS

State

Zip

60461

County

COOK

Ever Disciplined

LastModifiedDate

10/12/2005