MARTIN JACOB GREENBERG Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****76

License Status

ACTIVE

Business

First Name

MARTIN

Middle

JACOB

Last Name

GREENBERG

Business Name

MARTIN JACOB GREENBERG

Original Issue Date

01/01/1997

Effective Date

07/28/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60657

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/28/2023