DANIELLE C KIZAIRE Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125017586

License Status

EXPIRED

Business

First Name

DANIELLE

Middle

Last Name

KIZAIRE

Business Name

DANIELLE C KIZAIRE

Original Issue Date

07/25/1984

Effective Date

07/25/1984

Expiration Date

07/01/1986

City

EVANSTON

State

Zip

60202

County

COOK

Specialty/Qualifier

Family Practice & OMT

Ever Disciplined

LastModifiedDate

09/22/2006