KRISTINE MELISSA POWELL MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125049619

License Status

EXPIRED

Business

First Name

KRISTINE

Middle

MELISSA

Last Name

POWELL

Suffix

Business Name

KRISTINE MELISSA POWELL MD

Original Issue Date

07/01/2005

Effective Date

07/01/2005

Expiration Date

06/30/2008

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

07/31/2008