JEFFREY AARON GOLDSTEIN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****05

License Status

NOT RENEWED

Business

First Name

JEFFREY

Middle

AARON

Last Name

GOLDSTEIN

Suffix

Business Name

JEFFREY AARON GOLDSTEIN MD

Original Issue Date

07/19/2011

Effective Date

06/30/2014

Expiration Date

07/31/2017

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020