KRISTIN MARIE CHENAULT MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125051949

License Status

CANCELLED

Business

First Name

KRISTIN

Middle

MARIE

Last Name

CHENAULT

Suffix

Business Name

KRISTIN MARIE CHENAULT MD

Original Issue Date

06/19/2006

Effective Date

06/19/2006

Expiration Date

06/18/2009

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Anesthesiology

Ever Disciplined

LastModifiedDate

09/22/2006