KERSTI M BRUINING Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125020294

License Status

EXPIRED

Business

First Name

KERSTI

Middle

Last Name

BRUINING

Business Name

KERSTI M BRUINING

Original Issue Date

09/04/1986

Effective Date

09/04/1986

Expiration Date

07/01/1989

City

CHICAGO

State

Zip

60616

County

COOK

Specialty/Qualifier

Family Practice & OMT

Ever Disciplined

LastModifiedDate

09/22/2006