BRIAN R GULDBEK Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****70

License Status

NOT RENEWED

Business

First Name

BRIAN R

Last Name

GULDBEK

Business Name

BRIAN R GULDBEK

Original Issue Date

11/24/1986

Effective Date

06/07/2018

Expiration Date

01/31/2022

City

LIBERTYVILLE

State

Zip

60048

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/09/2022