KIP CARDELL NEWELL DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125055492

License Status

EXPIRED

Business

Title

First Name

KIP

Middle

CARDELL

Last Name

NEWELL

Business Name

KIP CARDELL NEWELL DO

Original Issue Date

07/02/2008

Effective Date

07/02/2008

Expiration Date

07/01/2009

City

CHICAGO

State

Zip

60657

County

COOK

Specialty/Qualifier

Anesthesiology

Ever Disciplined

LastModifiedDate

07/15/2009