JOHN J GOLDMAN Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****18

License Status

NOT RENEWED

Business

First Name

JOHN J

Last Name

GOLDMAN

Business Name

JOHN J GOLDMAN

Original Issue Date

02/01/1988

Effective Date

02/01/1988

Expiration Date

09/30/1990

City

SKOKIE

State

Zip

60077

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005