IAN J GOLDBERG DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****17

License Status

ACTIVE

Business

First Name

IAN J

Last Name

GOLDBERG

Suffix

Business Name

IAN J GOLDBERG DO

Original Issue Date

08/17/1992

Effective Date

07/28/2023

Expiration Date

07/31/2026

City

ROCKFORD

State

Zip

61104

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/28/2023