JACQUELINE M GOLDBERG MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****66

License Status

NOT RENEWED

Business

First Name

JACQUELINE

Middle

Last Name

GOLDBERG

Suffix

Business Name

JACQUELINE M GOLDBERG MD

Original Issue Date

10/26/1999

Effective Date

10/26/1999

Expiration Date

07/31/2005

City

CHICAGO

State

Zip

60637

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006