JEFFREY M GOLDBERG MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****14

License Status

NOT RENEWED

Business

First Name

JEFFREY M

Last Name

GOLDBERG

Suffix

Business Name

JEFFREY M GOLDBERG MD

Original Issue Date

07/29/1996

Effective Date

07/29/1996

Expiration Date

07/31/2002

City

CHICAGO

State

Zip

60612

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006