DENNIS HAMILTON GOLDSBERRY Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****86

License Status

CANCELLED

Business

First Name

DENNIS

Middle

HAMILTON

Last Name

GOLDSBERRY

Business Name

DENNIS HAMILTON GOLDSBERRY

Original Issue Date

04/19/2005

Effective Date

04/19/2005

Expiration Date

07/31/2008

City

HIGHLAND PARK

State

Zip

60035

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/17/2008