MICHAL GOLDBERG Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****04

License Status

NOT RENEWED

Business

First Name

MICHAL

Last Name

GOLDBERG

Business Name

MICHAL GOLDBERG

Original Issue Date

02/06/2003

Effective Date

05/12/2014

Expiration Date

07/31/2017

City

CHICAGO

State

Zip

60642

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017