ASHLEY ROSE GOLDMAN Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019033629

License Status

NOT RENEWED

Business

First Name

ASHLEY

Middle

ROSE

Last Name

GOLDMAN

Business Name

ASHLEY ROSE GOLDMAN

Original Issue Date

05/28/2022

Effective Date

05/28/2022

Expiration Date

09/30/2024

City

CHAMPAIGN

State

Zip

61822

Ever Disciplined

LastModifiedDate

02/04/2025