JEFF STEVEN GOLDSTEIN Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****62

License Status

NOT RENEWED

Business

First Name

JEFF STEVEN

Last Name

GOLDSTEIN

Business Name

JEFF STEVEN GOLDSTEIN

Original Issue Date

09/25/2003

Effective Date

04/29/2008

Expiration Date

03/01/2010

City

ELK GROVE VILLAGE

State

Zip

60007

County

COOK

Ever Disciplined

LastModifiedDate

11/17/2010