KELLY MICHELE JERSTAD MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125038473

License Status

EXPIRED

Business

First Name

KELLY

Middle

MICHELE

Last Name

JERSTAD

Suffix

Business Name

KELLY MICHELE JERSTAD MD

Original Issue Date

06/16/1998

Effective Date

06/16/1998

Expiration Date

06/15/1999

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

09/22/2006