CHRISTY DIANE STINE Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125040608

License Status

CANCELLED

Business

First Name

CHRISTY

Middle

DIANE

Last Name

STINE

Business Name

CHRISTY DIANE STINE

Original Issue Date

06/24/2000

Effective Date

06/24/2000

Expiration Date

06/23/2004

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Child Neurology

Ever Disciplined

LastModifiedDate

09/22/2006