RUSSELL SETH GOLDBERG MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036059709

License Status

NOT RENEWED

Business

First Name

RUSSELL SETH

Last Name

GOLDBERG

Suffix

Business Name

RUSSELL SETH GOLDBERG MD

Original Issue Date

11/09/1979

Effective Date

11/09/1979

Expiration Date

07/31/1984

City

CHICAGO

State

Zip

60614

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006