DANIEL EDWARD GOLDENBERG MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125071854

License Status

EXPIRED

Business

Title

First Name

DANIEL

Middle

EDWARD

Last Name

GOLDENBERG

Business Name

DANIEL EDWARD GOLDENBERG MD

Original Issue Date

07/01/2018

Effective Date

07/01/2018

Expiration Date

06/30/2021

City

SAINT LOUIS

State

Zip

63110

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

10/11/2022