QUENTIN CLEMENT GOBLIRSCH DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****26

License Status

NOT RENEWED

Business

First Name

QUENTIN

Middle

CLEMENT

Last Name

GOBLIRSCH

Suffix

DDS

Business Name

QUENTIN CLEMENT GOBLIRSCH DDS

Original Issue Date

01/01/1998

Expiration Date

09/30/2000

City

ELGIN

State

Zip

60123

County

KANE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/17/2005