KRISTOPHER KYLE CARPENTER Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036125873

License Status

ACTIVE

Business

First Name

KRISTOPHER

Middle

KYLE

Last Name

CARPENTER

Business Name

KRISTOPHER KYLE CARPENTER

Original Issue Date

05/27/2010

Effective Date

05/30/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60617

County

COOK

Ever Disciplined

LastModifiedDate

05/30/2023