AMY ELIZABETH KEURENTJES DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125055032

License Status

EXPIRED

Business

First Name

AMY

Middle

ELIZABETH

Last Name

KEURENTJES

Suffix

Business Name

AMY ELIZABETH KEURENTJES DO

Original Issue Date

07/01/2011

Effective Date

07/01/2011

Expiration Date

07/24/2012

City

OLYMPIA FIELDS

State

Zip

60461

County

COOK

Specialty/Qualifier

Obstetrics & Gynecology

Ever Disciplined

LastModifiedDate

08/29/2012