BRUCE S GOLDENBERG MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036067608

License Status

NOT RENEWED

Business

First Name

BRUCE S

Last Name

GOLDENBERG

Suffix

Business Name

BRUCE S GOLDENBERG MD

Original Issue Date

09/30/1983

Effective Date

09/30/1983

Expiration Date

07/31/1987

City

ROCKFORD

State

Zip

61108

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006