ROGER M GOLDENBERG MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125021104

License Status

EXPIRED

Business

First Name

ROGER M

Last Name

GOLDENBERG

Suffix

Business Name

ROGER M GOLDENBERG MD

Original Issue Date

06/02/1987

Effective Date

06/02/1987

Expiration Date

07/01/1990

City

PARK RIDGE

State

Zip

60068

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006