FERNANDO D GOLDENBERG MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****57

License Status

ACTIVE

Business

Title

First Name

FERNANDO

Middle

Last Name

GOLDENBERG

Business Name

FERNANDO D GOLDENBERG MD

Original Issue Date

06/22/2004

Effective Date

06/28/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60637

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/28/2023