LISSA GOLDSTEIN MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125055382

License Status

CANCELLED

Business

First Name

LISSA

Last Name

GOLDSTEIN

Suffix

Business Name

LISSA GOLDSTEIN MD

Original Issue Date

06/23/2008

Effective Date

06/23/2008

Expiration Date

06/22/2011

City

OAK LAWN

State

Zip

60453

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

05/19/2008