DEBRA A GOLDSTEIN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****37

License Status

ACTIVE

Business

First Name

DEBRA A

Last Name

GOLDSTEIN

Suffix

Business Name

DEBRA A GOLDSTEIN MD

Original Issue Date

09/09/1994

Effective Date

05/16/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60611

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/16/2023