MARK L GOLDBERG MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036074910

License Status

INACTIVE

Business

First Name

MARK L

Last Name

GOLDBERG

Suffix

Business Name

MARK L GOLDBERG MD

Original Issue Date

04/24/1987

Effective Date

04/24/1987

Expiration Date

07/31/1987

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006