DANIEL P GOLDBERG MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****71

License Status

NOT RENEWED

Business

First Name

DANIEL P

Last Name

GOLDBERG

Suffix

Business Name

DANIEL P GOLDBERG MD

Original Issue Date

07/26/1991

Effective Date

07/26/1991

Expiration Date

07/31/1996

City

CHICAGO

State

Zip

60611

County

COOK

Controlled Substance Schedule

II III

Ever Disciplined

LastModifiedDate

09/26/2006