JEFF STEVEN GOLDSTEIN Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085002045

License Status

NOT RENEWED

Business

First Name

JEFF STEVEN

Last Name

GOLDSTEIN

Business Name

JEFF STEVEN GOLDSTEIN

Original Issue Date

08/07/2003

Effective Date

12/14/2007

Expiration Date

03/01/2010

City

SOUTH ELGIN

State

Zip

60177

County

KANE

Ever Disciplined

LastModifiedDate

11/17/2010