ERIC JON LEESTMA DO Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036059035

License Status

INACTIVE

Business

First Name

ERIC JON

Last Name

LEESTMA

Suffix

Business Name

ERIC JON LEESTMA DO

Original Issue Date

07/17/1979

Effective Date

07/17/1979

Expiration Date

07/31/1987

City

LANSING

State

Zip

60438

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006