EUGENE MARTIN GOLDBERG Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****62

License Status

ACTIVE

Business

First Name

EUGENE MARTIN

Last Name

GOLDBERG

Business Name

EUGENE MARTIN GOLDBERG

Original Issue Date

08/01/1983

Effective Date

09/27/2024

Expiration Date

09/30/2027

City

WILMETTE

State

Zip

60091

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/27/2024