JEFFREY DAVID GRIESEMER MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125054803

License Status

CANCELLED

Business

Title

First Name

JEFFREY

Middle

DAVID

Last Name

GRIESEMER

Business Name

JEFFREY DAVID GRIESEMER MD

Original Issue Date

07/01/2008

Effective Date

07/01/2008

Expiration Date

06/30/2011

City

PEORIA

State

Zip

61602

County

PEORIA

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

05/07/2008