JACOB ANDREW GREENBERG MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036143381

License Status

NOT RENEWED

Business

Title

First Name

JACOB

Middle

ANDREW

Last Name

GREENBERG

Business Name

JACOB ANDREW GREENBERG MD

Original Issue Date

06/05/2017

Effective Date

06/11/2020

Expiration Date

07/31/2023

City

MADISON

State

Zip

53792

County

WISCONSIN

Ever Disciplined

LastModifiedDate

11/30/2023