KRISTOPHER KYLE CARPENTER Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125053468

License Status

CANCELLED

Business

First Name

KRISTOPHER

Middle

KYLE

Last Name

CARPENTER

Business Name

KRISTOPHER KYLE CARPENTER

Original Issue Date

07/01/2007

Effective Date

07/01/2007

Expiration Date

06/30/2010

City

CHICAGO

State

Zip

60617

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

04/30/2007