MELVYN RALPH GOLDBERG MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036125330

License Status

NOT RENEWED

Business

First Name

MELVYN

Middle

RALPH

Last Name

GOLDBERG

Suffix

Business Name

MELVYN RALPH GOLDBERG MD

Original Issue Date

03/30/2010

Effective Date

03/30/2010

Expiration Date

07/31/2011

City

ST LOUIS

State

Zip

63122

County

MISSOURI

Ever Disciplined

LastModifiedDate

11/14/2011