JULIE ANN MCDOLE-GOLDBERG DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****28

License Status

NOT RENEWED

Business

First Name

JULIE

Middle

ANN

Last Name

MCDOLE-GOLDBERG

Suffix

DDS

Business Name

JULIE ANN MCDOLE-GOLDBERG DDS

Original Issue Date

04/06/2004

Effective Date

08/14/2014

Expiration Date

09/30/2015

City

DEER PARK

State

Zip

60010

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/08/2016