JAY LAWRENCE GOLDSTEIN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036059847

License Status

ACTIVE

Business

First Name

JAY

Middle

LAWRENCE

Last Name

GOLDSTEIN

Suffix

Business Name

JAY LAWRENCE GOLDSTEIN MD

Original Issue Date

12/18/1979

Effective Date

06/08/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60647

County

COOK

Ever Disciplined

LastModifiedDate

06/08/2023