JUSTIN D TRIEMSTRA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****49

License Status

NOT RENEWED

Business

First Name

JUSTIN

Middle

Last Name

TRIEMSTRA

Suffix

Business Name

JUSTIN D TRIEMSTRA MD

Original Issue Date

04/05/2016

Effective Date

04/05/2016

Expiration Date

07/31/2017

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017