STUART LEE GOLDBLATT DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****92

License Status

NOT RENEWED

Business

First Name

STUART LEE

Last Name

GOLDBLATT

Suffix

DDS

Business Name

STUART LEE GOLDBLATT DDS

Original Issue Date

01/01/1998

Effective Date

06/29/2015

Expiration Date

09/30/2018

City

CHICAGO

State

Zip

60656

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/31/2018