BRUCE JAY GOLDBERG MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****81

License Status

NOT RENEWED

Business

First Name

BRUCE JAY

Last Name

GOLDBERG

Suffix

Business Name

BRUCE JAY GOLDBERG MD

Original Issue Date

01/25/1990

Effective Date

09/18/2020

Expiration Date

07/31/2023

City

PALATINE

State

Zip

60067

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023