JEREMY S GOLDBERG DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****34

License Status

NOT RENEWED

Business

First Name

JEREMY S

Last Name

GOLDBERG

Suffix

DDS

Business Name

JEREMY S GOLDBERG DDS

Original Issue Date

01/01/1998

Effective Date

09/06/2012

Expiration Date

09/30/2015

City

ARLINGTON HEIGHTS

State

Zip

60004

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/08/2016