KRISTEN EMILY PELLEGRINO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036124847

License Status

NOT RENEWED

Business

First Name

KRISTEN

Middle

EMILY

Last Name

PELLEGRINO

Suffix

Business Name

KRISTEN EMILY PELLEGRINO MD

Original Issue Date

01/15/2010

Effective Date

04/25/2011

Expiration Date

07/31/2014

City

CHICAGO

State

Zip

60657

County

COOK

Ever Disciplined

LastModifiedDate

11/17/2014