IRENE MICHELE GOLDSTEIN Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****19

License Status

NOT RENEWED

Business

First Name

IRENE

Middle

MICHELE

Last Name

GOLDSTEIN

Business Name

IRENE MICHELE GOLDSTEIN

Original Issue Date

04/15/2002

Effective Date

04/15/2002

Expiration Date

07/31/2005

City

CHICAGO

State

Zip

60612

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020