JAN E LEESTMA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036044272

License Status

NOT RENEWED

Business

First Name

JAN E

Last Name

LEESTMA

Suffix

Business Name

JAN E LEESTMA MD

Original Issue Date

06/22/1971

Effective Date

07/24/2017

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60642

County

COOK

Ever Disciplined

LastModifiedDate

01/14/2021