DAVID S FEENSTRA Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

LIMITED MEDICAL TEMPORARY PERMIT

License Number

130000144

License Status

EXPIRED

Business

First Name

DAVID

Middle

Last Name

FEENSTRA

Business Name

DAVID S FEENSTRA

Original Issue Date

11/28/1990

Effective Date

11/28/1990

Expiration Date

02/09/1991

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Anesthesiology

Ever Disciplined

LastModifiedDate

09/25/2006