GARY ROBERT 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

GARY ROBERT

Last Name

GOLDSTEIN

Suffix

Business Name

GARY ROBERT GOLDSTEIN MD

Original Issue Date

04/18/1994

Effective Date

05/18/2023

Expiration Date

07/31/2026

City

SAINT LOUIS

State

Zip

63136

County

MISSOURI

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/18/2023