CHRISTA MUCKENHAUSEN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036048561

License Status

NOT RENEWED

Business

First Name

CHRISTA

Last Name

MUCKENHAUSEN

Suffix

Business Name

CHRISTA MUCKENHAUSEN MD

Original Issue Date

12/18/1973

Effective Date

12/18/1973

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006