PHILLIP J GOFF Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****51

License Status

NOT RENEWED

Business

First Name

PHILLIP J

Last Name

GOFF

Business Name

PHILLIP J GOFF

Original Issue Date

11/03/1988

Effective Date

11/03/1988

Expiration Date

09/30/1990

City

CHICAGO

State

Zip

60602

County

COOK

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

10/13/2005