KENNETH P JUSTESEN DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****00

License Status

ACTIVE

Business

First Name

KENNETH P

Last Name

JUSTESEN

Suffix

Business Name

KENNETH P JUSTESEN DO

Original Issue Date

12/05/2023

Effective Date

12/05/2023

Expiration Date

07/31/2026

City

ELGIN

State

Zip

60124

County

KANE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

12/05/2023