LISSA GOLDSTEIN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036128132

License Status

NOT RENEWED

Business

First Name

LISSA

Last Name

GOLDSTEIN

Suffix

Business Name

LISSA GOLDSTEIN MD

Original Issue Date

06/21/2011

Effective Date

06/21/2011

Expiration Date

07/31/2014

City

BROOKLYN

State

Zip

11211

Ever Disciplined

LastModifiedDate

11/17/2014