DAVID JEREMY AMSTEL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036122344

License Status

NOT RENEWED

Business

First Name

DAVID

Middle

JEREMY

Last Name

AMSTEL

Suffix

Business Name

DAVID JEREMY AMSTEL MD

Original Issue Date

12/16/2008

Effective Date

06/30/2011

Expiration Date

07/31/2014

City

CHICAGO

State

Zip

60657

County

COOK

Ever Disciplined

LastModifiedDate

11/17/2014