TAMMO DOUWE DERK HOEKSEMA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****76

License Status

NOT RENEWED

Business

First Name

TAMMO DOUWE DERK

Last Name

HOEKSEMA

Suffix

Business Name

TAMMO DOUWE DERK HOEKSEMA MD

Original Issue Date

01/01/1997

Effective Date

06/09/2011

Expiration Date

07/31/2014

City

BLUE ISLAND

State

Zip

60406

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/08/2014