KRISTINE NOEL WEIDNER MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125048372

License Status

CANCELLED

Business

Title

First Name

KRISTINE

Middle

NOEL

Last Name

WEIDNER

Business Name

KRISTINE NOEL WEIDNER MD

Original Issue Date

06/11/2004

Effective Date

06/11/2004

Expiration Date

06/30/2007

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

LastModifiedDate

10/03/2006