MARK L GOLDBERG MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125018834

License Status

EXPIRED

Business

First Name

MARK L

Last Name

GOLDBERG

Suffix

Business Name

MARK L GOLDBERG MD

Original Issue Date

07/09/1985

Effective Date

07/09/1985

Expiration Date

07/01/1988

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Nuclear Medicine

Ever Disciplined

LastModifiedDate

09/22/2006