LARRY DAVID GOLDSTEIN MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125029405

License Status

EXPIRED

Business

First Name

LARRY

Middle

DAVID

Last Name

GOLDSTEIN

Suffix

Business Name

LARRY DAVID GOLDSTEIN MD

Original Issue Date

05/05/1993

Effective Date

05/05/1993

Expiration Date

06/23/1998

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Diagnostic Radiology

Ever Disciplined

LastModifiedDate

09/22/2006