SOL GOLDMAN Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****87

License Status

NOT RENEWED

Business

First Name

SOL

Last Name

GOLDMAN

Business Name

SOL GOLDMAN

Original Issue Date

01/01/1998

Expiration Date

09/30/1996

City

HINSDALE

State

Zip

60521

County

COOK

Controlled Substance Schedule

III IV

Ever Disciplined

LastModifiedDate

10/13/2005