CRAIG IRA GOLDSTEIN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****17

License Status

NOT RENEWED

Business

First Name

CRAIG

Middle

IRA

Last Name

GOLDSTEIN

Suffix

Business Name

CRAIG IRA GOLDSTEIN MD

Original Issue Date

07/13/2004

Effective Date

07/13/2004

Expiration Date

07/31/2005

City

CHICAGO

State

Zip

60613

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020