BRIAN GOLDSTEIN DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****92

License Status

NOT RENEWED

Business

Title

DDS

First Name

BRIAN

Last Name

GOLDSTEIN

Business Name

BRIAN GOLDSTEIN DDS

Original Issue Date

04/23/2021

Effective Date

04/23/2021

Expiration Date

01/31/2022

City

CRESTWOOD

State

Zip

60418

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/09/2022