ALLEN I GOLDBERG MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036057657

License Status

NOT RENEWED

Business

First Name

ALLEN I

Last Name

GOLDBERG

Suffix

Business Name

ALLEN I GOLDBERG MD

Original Issue Date

09/25/1978

Effective Date

07/25/2011

Expiration Date

07/31/2014

City

CHICAGO

State

Zip

60614

County

COOK

Ever Disciplined

LastModifiedDate

11/17/2014