JOSEPH P GOLDBERG MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****48

License Status

NOT RENEWED

Business

First Name

JOSEPH

Middle

Last Name

GOLDBERG

Suffix

Business Name

JOSEPH P GOLDBERG MD

Original Issue Date

06/27/2000

Effective Date

04/30/2014

Expiration Date

07/31/2017

City

CHAMPAIGN

State

Zip

61822

County

CHAMPAIGN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017