KENNETH P JUSTESEN DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036088819

License Status

ACTIVE

Business

First Name

KENNETH P

Last Name

JUSTESEN

Suffix

Business Name

KENNETH P JUSTESEN DO

Original Issue Date

07/02/1994

Effective Date

07/07/2023

Expiration Date

07/31/2026

City

MCHENRY

State

Zip

60050

County

MCHENRY

Ever Disciplined

LastModifiedDate

07/07/2023