RONALD LEE GOLDSTEIN DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****54

License Status

NOT RENEWED

Business

First Name

RONALD LEE

Last Name

GOLDSTEIN

Suffix

DDS

Business Name

RONALD LEE GOLDSTEIN DDS

Original Issue Date

01/01/1998

Effective Date

06/10/2009

Expiration Date

09/30/2012

City

CHICAGO

State

Zip

60645

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/14/2012