KRISTA DAWN CALDWELL MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125046130

License Status

CANCELLED

Business

First Name

KRISTA

Middle

DAWN

Last Name

CALDWELL

Suffix

Business Name

KRISTA DAWN CALDWELL MD

Original Issue Date

06/24/2003

Effective Date

06/24/2003

Expiration Date

06/23/2006

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

LastModifiedDate

09/22/2006