KRISTEN E DECARLO MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036143295

License Status

ACTIVE

Business

Title

First Name

KRISTEN

Middle

Last Name

DECARLO

Business Name

KRISTEN E DECARLO MD

Original Issue Date

05/30/2017

Effective Date

05/19/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60607

County

COOK

Ever Disciplined

LastModifiedDate

05/19/2023