AMY B GOLDSTEIN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036102593

License Status

NOT RENEWED

Business

First Name

AMY

Middle

Last Name

GOLDSTEIN

Suffix

Business Name

AMY B GOLDSTEIN MD

Original Issue Date

06/02/2000

Effective Date

06/02/2000

Expiration Date

07/31/2005

City

CHICAGO

State

Zip

60637

County

COOK

Ever Disciplined

LastModifiedDate

10/09/2006