JONATHAN EDWARD GOLDSTEIN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****07

License Status

NOT RENEWED

Business

Title

First Name

JONATHAN

Middle

EDWARD

Last Name

GOLDSTEIN

Business Name

JONATHAN EDWARD GOLDSTEIN MD

Original Issue Date

10/19/2018

Effective Date

10/19/2018

Expiration Date

09/30/2020

City

WEST ORANGE

State

Zip

07052

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021