KRISTINE LEANNE VALLRUGO MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125035789

License Status

CANCELLED

Business

First Name

KRISTINE

Middle

LEANNE

Last Name

VALLRUGO

Suffix

Business Name

KRISTINE LEANNE VALLRUGO MD

Original Issue Date

05/05/1997

Effective Date

05/05/1997

Expiration Date

07/14/2002

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Psychiatry

Ever Disciplined

LastModifiedDate

09/22/2006