GARY ROBERT GOLDSTEIN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****35

License Status

ACTIVE

Business

First Name

GARY ROBERT

Last Name

GOLDSTEIN

Suffix

Business Name

GARY ROBERT GOLDSTEIN MD

Original Issue Date

10/01/2012

Effective Date

05/18/2023

Expiration Date

07/31/2026

City

VANDALIA

State

Zip

62471

County

FAYETTE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/18/2023