FERNANDO D GOLDENBERG MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125044451

License Status

EXPIRED

Business

Title

First Name

FERNANDO

Middle

Last Name

GOLDENBERG

Business Name

FERNANDO D GOLDENBERG MD

Original Issue Date

07/01/2002

Effective Date

07/01/2002

Expiration Date

09/14/2004

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Neurointensive Care

Ever Disciplined

LastModifiedDate

09/22/2006