License holder summary

Irene Goldstein is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Irene Goldstein is Medical Staff Office, 24 Joliet St, Dyer IN 46311. This licensed professional license is not current. The license was granted 10/12/2004 and expired on 10/31/2013.

Indiana

Professional Licensing Agency

Irene Goldstein
Controlled Substance Registration - Physician
License number
01059620B
Date granted
10/12/2004
Date expires
10/31/2013
Class
Controlled Substance Registration - Physician
Status
Expired
Address
Medical Staff Office, 24 Joliet St, Dyer IN 46311
indianalicensing.org
ID 5844354
LAST UPDATED 2024-03-09 10:27:13 UTC

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