ILYA GOLDENBERG MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036176096

License Status

ACTIVE

Business

Title

First Name

ILYA

Last Name

GOLDENBERG

Business Name

ILYA GOLDENBERG MD

Original Issue Date

07/16/2025

Effective Date

07/16/2025

Expiration Date

07/31/2026

City

NEWARK

State

Zip

43055

Ever Disciplined

LastModifiedDate

07/16/2025