KRISTINE P PULTORAK DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125030283

License Status

EXPIRED

Business

First Name

KRISTINE P

Last Name

PULTORAK

Suffix

Business Name

KRISTINE P PULTORAK DO

Original Issue Date

06/11/1993

Effective Date

06/11/1993

Expiration Date

06/30/1996

City

LAGRANGE

State

Zip

60525

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006