SAMUEL I GOLDSTEIN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****30

License Status

ACTIVE

Business

First Name

SAMUEL I

Last Name

GOLDSTEIN

Suffix

Business Name

SAMUEL I GOLDSTEIN MD

Original Issue Date

09/12/1994

Effective Date

06/01/2023

Expiration Date

07/31/2026

City

PARK RIDGE

State

Zip

60068

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/01/2023