ERIC JAY GOLDENBERG MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****95

License Status

NOT RENEWED

Business

Title

First Name

ERIC

Middle

JAY

Last Name

GOLDENBERG

Business Name

ERIC JAY GOLDENBERG MD

Original Issue Date

11/03/2017

Effective Date

11/03/2017

Expiration Date

09/30/2020

City

MUNSTER

State

Zip

46321

County

INDIANA

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021