KRISTEN IRENE PADILLA DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036136920

License Status

NOT RENEWED

Business

Title

First Name

KRISTEN

Middle

IRENE

Last Name

PADILLA

Business Name

KRISTEN IRENE PADILLA DO

Original Issue Date

12/17/2014

Effective Date

04/20/2017

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60657

County

COOK

Ever Disciplined

LastModifiedDate

01/14/2021