BRADLEY S GOLDENBERG MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****00

License Status

ACTIVE

Business

First Name

BRADLEY S

Last Name

GOLDENBERG

Suffix

Business Name

BRADLEY S GOLDENBERG MD

Original Issue Date

04/13/1988

Effective Date

07/21/2023

Expiration Date

07/31/2026

City

OAK PARK

State

Zip

60302

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/21/2023