P DOUGLAS KIESTER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036075487

License Status

NOT RENEWED

Business

First Name

Middle

DOUGLAS

Last Name

KIESTER

Suffix

Business Name

P DOUGLAS KIESTER MD

Original Issue Date

07/18/1987

Effective Date

07/18/1987

Expiration Date

07/31/1990

City

CHICAGO

State

Zip

60612

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006