GLENN ALLAN GOLDSTEIN MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****56

License Status

INACTIVE

Business

First Name

GLENN ALLAN

Last Name

GOLDSTEIN

Suffix

Business Name

GLENN ALLAN GOLDSTEIN MD

Original Issue Date

01/01/1997

Expiration Date

09/01/1982

City

NEW YORK

State

Zip

10021

County

NEW YORK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006