BETH R KEEGSTRA MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125021152

License Status

EXPIRED

Business

First Name

BETH R

Last Name

KEEGSTRA

Suffix

Business Name

BETH R KEEGSTRA MD

Original Issue Date

06/06/1987

Effective Date

06/06/1987

Expiration Date

07/01/1990

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

LastModifiedDate

09/22/2006