CHRISTINE E KULSTAD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036112336

License Status

NOT RENEWED

Business

First Name

CHRISTINE

Middle

Last Name

KULSTAD

Business Name

CHRISTINE E KULSTAD

Original Issue Date

09/14/2004

Effective Date

04/21/2014

Expiration Date

07/31/2017

City

CHICAGO

State

Zip

60605

County

COOK

Ever Disciplined

LastModifiedDate

11/01/2017