KENNETH P JUSTESEN DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125026876

License Status

EXPIRED

Business

First Name

KENNETH P

Last Name

JUSTESEN

Suffix

Business Name

KENNETH P JUSTESEN DO

Original Issue Date

05/22/1991

Effective Date

05/22/1991

Expiration Date

06/20/1994

City

CHICAGO

State

Zip

60657

County

COOK

Specialty/Qualifier

Anesthesiology

Ever Disciplined

LastModifiedDate

09/22/2006