JEFFREY AARON GOLDSTEIN MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

VISITING PHYSICIAN PERMIT

License Number

106000171

License Status

EXPIRED

Business

First Name

JEFFREY

Middle

AARON

Last Name

GOLDSTEIN

Suffix

Business Name

JEFFREY AARON GOLDSTEIN MD

Original Issue Date

09/13/2002

Effective Date

09/13/2002

Expiration Date

04/20/2003

City

SPRINGFIELD

State

Zip

62701

County

SANGAMON

Ever Disciplined

LastModifiedDate

09/23/2006