FRED REIFSTECK III MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125020936

License Status

EXPIRED

Business

First Name

FRED

Last Name

REIFSTECK III

Suffix

Business Name

FRED REIFSTECK III MD

Original Issue Date

05/19/1987

Effective Date

05/19/1987

Expiration Date

07/01/1990

City

PEORIA

State

Zip

60636

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006