BETH R KEEGSTRA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036079045

License Status

NOT RENEWED

Business

First Name

BETH R

Last Name

KEEGSTRA

Suffix

Business Name

BETH R KEEGSTRA MD

Original Issue Date

06/20/1989

Effective Date

06/20/1989

Expiration Date

07/31/1993

City

CHICAGO

State

Zip

60630

County

COOK

Ever Disciplined

LastModifiedDate

10/10/2012