SAMUEL GOLDBERG MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036039790

License Status

INACTIVE

Business

First Name

SAMUEL

Last Name

GOLDBERG

Suffix

Business Name

SAMUEL GOLDBERG MD

Original Issue Date

07/01/1965

Effective Date

07/01/1965

Expiration Date

07/31/1987

City

TEMPE

State

Zip

85285

County

ARIZONA

Ever Disciplined

LastModifiedDate

09/20/2006