JEANINE MARIE KIES Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125030788

License Status

EXPIRED

Business

First Name

JEANINE MARIE

Last Name

KIES

Business Name

JEANINE MARIE KIES

Original Issue Date

12/08/1993

Effective Date

12/08/1993

Expiration Date

01/03/1995

City

CHICAGO

State

Zip

60615

County

COOK

Specialty/Qualifier

Family Practice & OMT

Ever Disciplined

LastModifiedDate

09/22/2006