KENNETH N GOLDBERG MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125019773

License Status

EXPIRED

Business

First Name

KENNETH N

Last Name

GOLDBERG

Suffix

Business Name

KENNETH N GOLDBERG MD

Original Issue Date

06/26/1986

Effective Date

06/26/1986

Expiration Date

06/23/1989

City

CHICAGO

State

Zip

60616

County

COOK

Specialty/Qualifier

Diagnostic Radiology

Ever Disciplined

LastModifiedDate

09/22/2006