PETER FRANKLIN JELSMA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036092824

License Status

NOT RENEWED

Business

First Name

PETER FRANKLIN

Last Name

JELSMA

Suffix

Business Name

PETER FRANKLIN JELSMA MD

Original Issue Date

05/23/1996

Effective Date

05/23/1996

Expiration Date

07/31/2002

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

10/09/2006