KRISTINA DARE O'SHAUGHNESSY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036117535

License Status

NOT RENEWED

Business

First Name

KRISTINA

Middle

DARE

Last Name

O'SHAUGHNESSY

Suffix

Business Name

KRISTINA DARE O'SHAUGHNESSY MD

Original Issue Date

01/26/2007

Effective Date

04/17/2008

Expiration Date

07/31/2011

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

11/14/2011