KRISTIN NICOLE VERCILLO MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036137521

License Status

ACTIVE

Business

Title

First Name

KRISTIN

Middle

NICOLE

Last Name

VERCILLO

Business Name

KRISTIN NICOLE VERCILLO MD

Original Issue Date

03/10/2015

Effective Date

05/31/2023

Expiration Date

07/31/2026

City

LIBERTYVILLE

State

Zip

60048

County

LAKE

Ever Disciplined

LastModifiedDate

05/31/2023