BRIAN GOLDSTEIN DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****16

License Status

NOT RENEWED

Business

Title

DDS

First Name

BRIAN

Last Name

GOLDSTEIN

Business Name

BRIAN GOLDSTEIN DDS

Original Issue Date

01/15/2021

Effective Date

01/15/2021

Expiration Date

01/31/2022

City

BOURBONNAIS

State

Zip

60914

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/09/2022