MICHELLE RIESE GOLDBERG MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****27

License Status

NOT RENEWED

Business

First Name

MICHELLE RIESE

Last Name

GOLDBERG

Suffix

Business Name

MICHELLE RIESE GOLDBERG MD

Original Issue Date

10/16/1997

Effective Date

10/16/1997

Expiration Date

07/31/2002

City

CHICAGO

State

Zip

60614

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020