TRISTA M NEGELE MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125029363

License Status

EXPIRED

Business

First Name

TRISTA M

Last Name

NEGELE

Suffix

Business Name

TRISTA M NEGELE MD

Original Issue Date

05/05/1993

Effective Date

05/05/1993

Expiration Date

06/13/1996

City

CHICAGO

State

Zip

60608

County

COOK

Specialty/Qualifier

General Surgery

Ever Disciplined

LastModifiedDate

09/22/2006