LISSA GOLDSTEIN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****52

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

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014