MICHAEL STEVEN GOLDWASSER DDS Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****57

License Status

NOT RENEWED

Business

First Name

MICHAEL STEVEN

Last Name

GOLDWASSER

Suffix

DDS

Business Name

MICHAEL STEVEN GOLDWASSER DDS

Original Issue Date

08/08/2002

Effective Date

08/08/2002

Expiration Date

07/31/2008

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/12/2017