RAPHAEL V GOLDSTEIN DDS - Dentist License in Illinois | # 019022017

RAPHAEL V GOLDSTEIN DDS

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019022017

License Status

NOT RENEWED

Business

N

First Name

RAPHAEL V

Last Name

GOLDSTEIN

Suffix

DDS

Business Name

RAPHAEL V GOLDSTEIN DDS

Original Issue Date

05/25/1990

Effective Date

05/25/1990

Expiration Date

09/30/1994

State

IL

Ever Disciplined

N

LastModifiedDate

10/12/2005