NANCY LEE GOODARE ROSENTHAL DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****14

License Status

NOT RENEWED

Business

Title

DDS

First Name

NANCY

Middle

LEE

Last Name

GOODARE ROSENTHAL

Business Name

NANCY LEE GOODARE ROSENTHAL DDS

Original Issue Date

12/14/2015

Effective Date

11/22/2021

Expiration Date

09/30/2024

City

CHICGO

State

Zip

60601

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/04/2025