MARY E CHRISTIAANSE Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125015365

License Status

EXPIRED

Business

First Name

MARY E

Last Name

CHRISTIAANSE

Business Name

MARY E CHRISTIAANSE

Original Issue Date

06/15/1983

Effective Date

06/15/1983

Expiration Date

06/22/1985

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

09/22/2006