SCOTT DAVID GOLDMAN DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****00

License Status

ACTIVE

Business

First Name

SCOTT

Middle

DAVID

Last Name

GOLDMAN

Suffix

DDS

Business Name

SCOTT DAVID GOLDMAN DDS

Original Issue Date

06/18/2007

Effective Date

05/02/2024

Expiration Date

09/30/2027

City

CRYSTAL LAKE

State

Zip

60014

County

MCHENRY

Specialty/Qualifier

HOSPITAL/CLINIC

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/02/2024