JON W AHLSTROM MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125026659

License Status

EXPIRED

Business

First Name

JON W

Last Name

AHLSTROM

Suffix

Business Name

JON W AHLSTROM MD

Original Issue Date

05/14/1991

Effective Date

05/14/1991

Expiration Date

06/22/1994

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Obstetrics & Gynecology

Ever Disciplined

LastModifiedDate

09/22/2006