KRISTIN E CLEMONS Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125037100

License Status

EXPIRED

Business

First Name

KRISTIN

Middle

Last Name

CLEMONS

Business Name

KRISTIN E CLEMONS

Original Issue Date

07/10/1997

Effective Date

07/10/1997

Expiration Date

07/09/2000

City

CHICAGO

State

Zip

60612

County

COOK

Ever Disciplined

LastModifiedDate

09/22/2006