RICHARD S GOLDBERG MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****19

License Status

NOT RENEWED

Business

First Name

RICHARD S

Last Name

GOLDBERG

Suffix

Business Name

RICHARD S GOLDBERG MD

Original Issue Date

07/17/1990

Effective Date

05/04/2017

Expiration Date

09/30/2020

City

FRANKLIN PARK

State

Zip

60131

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021