ALLAN MARVIN GOLDBERG MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****72

License Status

NOT RENEWED

Business

First Name

ALLAN MARVIN

Last Name

GOLDBERG

Suffix

Business Name

ALLAN MARVIN GOLDBERG MD

Original Issue Date

01/01/1997

Expiration Date

07/31/2008

City

FLOSSMOOR

State

Zip

60422

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/06/2008