MICHAEL STEVEN GOLDWASSER DDS Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125016574

License Status

EXPIRED

Business

First Name

MICHAEL STEVEN

Last Name

GOLDWASSER

Suffix

DDS

Business Name

MICHAEL STEVEN GOLDWASSER DDS

Original Issue Date

06/01/1984

Effective Date

06/01/1984

Expiration Date

05/01/1986

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006