IRENE MICHELE GOLDSTEIN Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****74

License Status

ACTIVE

Business

First Name

IRENE

Middle

MICHELE

Last Name

GOLDSTEIN

Business Name

IRENE MICHELE GOLDSTEIN

Original Issue Date

03/24/2004

Effective Date

06/02/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60614

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/02/2023