JOEL S GOLDBERG DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****35

License Status

NOT RENEWED

Business

First Name

JOEL S

Last Name

GOLDBERG

Suffix

DDS

Business Name

JOEL S GOLDBERG DDS

Original Issue Date

01/01/1998

Effective Date

01/31/2012

Expiration Date

09/30/2012

City

HIGHLAND PARK

State

Zip

60035

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/14/2012