JOHN JEMSEK MD Athletics Professional License verification

Business Entity

NOT RENEWED

License Type

Athletics Professional

Description

ATHLETICS - LICENSED PHYSICIAN

License Number

002020142-0002

License Status

NOT RENEWED

Business

First Name

JOHN

Last Name

JEMSEK

Suffix

Business Name

JOHN JEMSEK MD

Original Issue Date

10/22/1975

Effective Date

10/22/1975

Expiration Date

10/22/1976

City

MATTOON

State

Zip

61938

County

COLES

Ever Disciplined

LastModifiedDate

09/18/2006