KRISTEN EMILY PELLEGRINO MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125053021

License Status

EXPIRED

Business

First Name

KRISTEN

Middle

EMILY

Last Name

PELLEGRINO

Suffix

Business Name

KRISTEN EMILY PELLEGRINO MD

Original Issue Date

07/01/2007

Effective Date

07/01/2007

Expiration Date

06/30/2010

City

CHICAGO

State

Zip

60657

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

07/08/2010