LAUREL ANNE GOLDSTEIN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****34

License Status

NOT RENEWED

Business

First Name

LAUREL

Middle

ANNE

Last Name

GOLDSTEIN

Suffix

Business Name

LAUREL ANNE GOLDSTEIN MD

Original Issue Date

04/16/2002

Effective Date

04/16/2002

Expiration Date

07/31/2008

City

CHICAGO

State

Zip

60622

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/06/2008