SIMON L GOLDBERG Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019005513

License Status

NOT RENEWED

Business

First Name

SIMON L

Last Name

GOLDBERG

Business Name

SIMON L GOLDBERG

Original Issue Date

08/10/1928

Effective Date

08/10/1928

Expiration Date

09/30/1988

City

WAUSAU

State

Zip

54401

County

WISCONSIN

Ever Disciplined

LastModifiedDate

10/12/2005