KRISTEN MARIE WITKOWSKI MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125054815

License Status

CANCELLED

Business

Title

First Name

KRISTEN

Middle

MARIE

Last Name

WITKOWSKI

Business Name

KRISTEN MARIE WITKOWSKI MD

Original Issue Date

07/01/2008

Effective Date

07/01/2008

Expiration Date

06/30/2011

City

CHICAGO

State

Zip

60657

County

COOK

Specialty/Qualifier

Obstetrics & Gynecology

Ever Disciplined

LastModifiedDate

05/14/2008