KRISTEN OTTILIE SPISAK MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125053939

License Status

EXPIRED

Business

Title

First Name

KRISTEN

Middle

OTTILIE

Last Name

SPISAK

Business Name

KRISTEN OTTILIE SPISAK MD

Original Issue Date

07/01/2011

Effective Date

07/01/2011

Expiration Date

07/31/2011

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Anesthesiology

Ever Disciplined

LastModifiedDate

09/30/2011