MATTHEW I GOLDSMITH Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

LIMITED MEDICAL TEMPORARY PERMIT

License Number

130000288

License Status

EXPIRED

Business

First Name

MATTHEW

Middle

Last Name

GOLDSMITH

Business Name

MATTHEW I GOLDSMITH

Original Issue Date

08/22/1995

Effective Date

08/22/1995

Expiration Date

02/17/1998

City

EAST ST LOUIS

State

Zip

62205

County

SAINT CLAIR

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

09/25/2006