CHAD R JUSTESEN Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125030381

License Status

EXPIRED

Business

First Name

CHAD R

Last Name

JUSTESEN

Business Name

CHAD R JUSTESEN

Original Issue Date

06/16/1993

Effective Date

06/16/1993

Expiration Date

06/30/1998

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Neurological Surgery

Ever Disciplined

LastModifiedDate

09/22/2006