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Licensed Professional Information:
Dentist 2901015879

Licensee Detail

License Type:

Dentist

License Number:

2901015879

Name:

Lisa Goldberg

License Issue Date:

08/02/1991

License Expiration Date:

08/02/2027

License Status:

Active

County:

Oakland

SPECIALTY CERTIFICATION

Specialty Certification:

Pediatric Dentistry

Status:

Active

Issue Date:

null

Expiration Date:

08/02/2027

CONTROLLED SUBSTANCE LIST

City:

Rochester Hills

State or Province:

Michigan

ZIP or Postal Code:

48307

CS Record Number:

5315161149

CS Status:

Active

CS Expiration Date:

08/02/2027

Related Records

Listed below are the records associated with

Dentist,

License Number:

2901015879

Record list

Showing 1-3 of 3

Date

Record Number

Record Type

09/29/2004

29-XX-097109

Enforcement

08/02/1991

2901015879

Dentist License

02/20/2020

COM20-000984

Complaint

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Licensed Professional Information: Dentist 2901015879

Disciplinary Action(s)

Licensee Detail

Related Records

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Licensed Professional Information:
Dentist 2901015879