LANCE GEOFFREY GOLDSTEIN DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****19

License Status

NOT RENEWED

Business

First Name

LANCE GEOFFREY

Last Name

GOLDSTEIN

Suffix

DDS

Business Name

LANCE GEOFFREY GOLDSTEIN DDS

Original Issue Date

05/04/1989

Effective Date

05/04/1989

Expiration Date

09/30/1994

City

OLYMPIA FIELDS

State

Zip

60461

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005