JEFFREY D TIEMSTRA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****27

License Status

NOT RENEWED

Business

First Name

JEFFREY D

Last Name

TIEMSTRA

Suffix

Business Name

JEFFREY D TIEMSTRA MD

Original Issue Date

06/15/1987

Effective Date

04/25/2014

Expiration Date

07/31/2017

City

WOODSTOCK

State

Zip

60098

County

MCHENRY

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020