LAWRENCE HARRIS GOLDBERG MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****10

License Status

NOT RENEWED

Business

Title

First Name

LAWRENCE

Middle

HARRIS

Last Name

GOLDBERG

Business Name

LAWRENCE HARRIS GOLDBERG MD

Original Issue Date

01/01/1997

Effective Date

12/16/2014

Expiration Date

07/31/2017

City

CHICAGO

State

Zip

60660

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017