ROGER M GOLDENBERG MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036077542

License Status

NOT RENEWED

Business

First Name

ROGER M

Last Name

GOLDENBERG

Suffix

Business Name

ROGER M GOLDENBERG MD

Original Issue Date

08/02/1988

Effective Date

08/02/1988

Expiration Date

07/31/1990

City

STILWELL

State

Zip

66085

County

KANSAS

Ever Disciplined

LastModifiedDate

01/28/2009