KENNETH N GOLDBERG MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****75

License Status

ACTIVE

Business

First Name

KENNETH N

Last Name

GOLDBERG

Suffix

Business Name

KENNETH N GOLDBERG MD

Original Issue Date

05/01/1989

Effective Date

06/28/2023

Expiration Date

07/31/2026

City

NORTHBROOK

State

Zip

60062

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/28/2023