JENS PETER KELLERMEIER MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125042164

License Status

EXPIRED

Business

First Name

JENS

Middle

PETER

Last Name

KELLERMEIER

Suffix

Business Name

JENS PETER KELLERMEIER MD

Original Issue Date

09/05/2000

Effective Date

09/05/2000

Expiration Date

09/04/2003

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Anesthesiology

Ever Disciplined

LastModifiedDate

09/22/2006