GAIL MARA GOLDBERG MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****65

License Status

ACTIVE

Business

First Name

GAIL

Middle

MARA

Last Name

GOLDBERG

Suffix

Business Name

GAIL MARA GOLDBERG MD

Original Issue Date

08/12/2003

Effective Date

07/25/2023

Expiration Date

07/31/2026

City

LAKE FOREST

State

Zip

60045

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/25/2023