KRISTEN A SCULLIN Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125023230

License Status

EXPIRED

Business

First Name

KRISTEN A

Last Name

SCULLIN

Business Name

KRISTEN A SCULLIN

Original Issue Date

02/17/1989

Effective Date

02/17/1989

Expiration Date

02/17/1992

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006