STEPHEN E GOLDBERG MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036095525

License Status

NOT RENEWED

Business

First Name

STEPHEN E

Last Name

GOLDBERG

Suffix

Business Name

STEPHEN E GOLDBERG MD

Original Issue Date

05/28/1997

Effective Date

04/12/2011

Expiration Date

07/31/2014

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

11/17/2014