WAYNE M GOLDSTEIN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****80

License Status

ACTIVE

Business

First Name

WAYNE M

Last Name

GOLDSTEIN

Suffix

Business Name

WAYNE M GOLDSTEIN MD

Original Issue Date

07/03/2013

Effective Date

05/12/2023

Expiration Date

07/31/2026

City

DES PLAINES

State

Zip

60016

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/12/2023