KIP CARDELL NEWELL DO Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036124673

License Status

INACTIVE

Business

Title

First Name

KIP

Middle

CARDELL

Last Name

NEWELL

Business Name

KIP CARDELL NEWELL DO

Original Issue Date

11/30/2009

Effective Date

11/30/2009

Expiration Date

07/31/2011

City

CHICAGO

State

Zip

60622

County

COOK

Ever Disciplined

LastModifiedDate

04/07/2011