ALLEN FRED GOLDBERG DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED SPECIALIST IN DENTISTRY

License Number

021000435

License Status

ACTIVE

Business

First Name

ALLEN

Middle

FRED

Last Name

GOLDBERG

Suffix

DDS

Business Name

ALLEN FRED GOLDBERG DDS

Original Issue Date

11/25/1964

Effective Date

05/18/2024

Expiration Date

09/30/2027

City

FRANKFORT

State

Zip

60423

County

WILL

Specialty/Qualifier

Oral and Maxillofacial Surgery

Ever Disciplined

LastModifiedDate

05/18/2024