ILYA GOLDENBERG MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****45

License Status

ACTIVE

Business

Title

First Name

ILYA

Last Name

GOLDENBERG

Business Name

ILYA GOLDENBERG MD

Original Issue Date

09/12/2025

Effective Date

09/12/2025

Expiration Date

07/31/2026

City

NEWARK

State

Zip

43055

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/17/2025