KRISTINA KATHLEEN COOK MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125039025

License Status

EXPIRED

Business

First Name

KRISTINA

Middle

KATHLEEN

Last Name

COOK

Suffix

Business Name

KRISTINA KATHLEEN COOK MD

Original Issue Date

07/01/1999

Effective Date

07/01/1999

Expiration Date

06/30/2002

City

SPRINGFIELD

State

Zip

62794

County

SANGAMON

Specialty/Qualifier

Obstetrics & Gynecology

Ever Disciplined

LastModifiedDate

09/22/2006