ALLEN FRED GOLDBERG DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****94

License Status

ACTIVE

Business

First Name

ALLEN

Middle

FRED

Last Name

GOLDBERG

Suffix

DDS

Business Name

ALLEN FRED GOLDBERG DDS

Original Issue Date

01/01/1998

Effective Date

05/18/2024

Expiration Date

09/30/2027

City

FRANKFORT

State

Zip

60423

County

WILL

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/18/2024