BRUCE D GOLDENBERG MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****62

License Status

NOT RENEWED

Business

First Name

BRUCE

Middle

Last Name

GOLDENBERG

Suffix

Business Name

BRUCE D GOLDENBERG MD

Original Issue Date

11/08/1984

Effective Date

11/08/1984

Expiration Date

07/31/1999

City

CHICAGO

State

Zip

60640

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020