JASON BRENT GREENBERG DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****09

License Status

NOT RENEWED

Business

First Name

JASON

Middle

BRENT

Last Name

GREENBERG

Suffix

Business Name

JASON BRENT GREENBERG DO

Original Issue Date

06/05/2019

Effective Date

06/05/2019

Expiration Date

09/30/2020

City

LOUISVILLE

State

Zip

40207

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021