THOMAS B KLOOSTERBOER Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125017764

License Status

EXPIRED

Business

First Name

THOMAS

Middle

Last Name

KLOOSTERBOER

Business Name

THOMAS B KLOOSTERBOER

Original Issue Date

02/22/1985

Effective Date

02/22/1985

Expiration Date

12/30/1986

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Anesthesiology

Ever Disciplined

LastModifiedDate

09/22/2006