LAWRENCE HARRIS GOLDBERG MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036051377

License Status

NOT RENEWED

Business

Title

First Name

LAWRENCE

Middle

HARRIS

Last Name

GOLDBERG

Business Name

LAWRENCE HARRIS GOLDBERG MD

Original Issue Date

08/12/1975

Effective Date

04/18/2014

Expiration Date

07/31/2017

City

CHICAGO

State

Zip

60660

County

COOK

Ever Disciplined

LastModifiedDate

11/01/2017