KRISTEN DANIELLE WHITAKER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036137396

License Status

NOT RENEWED

Business

Title

First Name

KRISTEN

Middle

DANIELLE

Last Name

WHITAKER

Business Name

KRISTEN DANIELLE WHITAKER MD

Original Issue Date

02/23/2015

Effective Date

06/26/2017

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60615

County

COOK

Ever Disciplined

LastModifiedDate

01/14/2021