ALAN RICHARD GOLDMAN DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****96

License Status

NOT RENEWED

Business

First Name

ALAN

Middle

RICHARD

Last Name

GOLDMAN

Suffix

DDS

Business Name

ALAN RICHARD GOLDMAN DDS

Original Issue Date

11/25/1992

Effective Date

12/17/2021

Expiration Date

09/30/2024

City

CHICAGO

State

Zip

60602

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/04/2025