BRUCE JAY GOLDBERG MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125017346

License Status

EXPIRED

Business

First Name

BRUCE JAY

Last Name

GOLDBERG

Suffix

Business Name

BRUCE JAY GOLDBERG MD

Original Issue Date

06/26/1984

Effective Date

06/26/1984

Expiration Date

07/01/1986

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

General Surgery

Ever Disciplined

LastModifiedDate

09/22/2006