STEVEN E GOLDBERG MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****43

License Status

NOT RENEWED

Business

First Name

STEVEN

Middle

Last Name

GOLDBERG

Suffix

Business Name

STEVEN E GOLDBERG MD

Original Issue Date

12/17/2009

Effective Date

12/17/2009

Expiration Date

07/31/2011

City

BLOOMINGTON

State

Zip

61701

County

MCLEAN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/10/2011