DAVID M GOLDSTEIN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****64

License Status

NOT RENEWED

Business

First Name

DAVID M

Last Name

GOLDSTEIN

Suffix

Business Name

DAVID M GOLDSTEIN MD

Original Issue Date

11/09/1983

Effective Date

11/09/1983

Expiration Date

07/31/1987

City

CHICAGO

State

Zip

60611

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006