JENNY MICHELLE TRISTANO MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125056588

License Status

EXPIRED

Business

Title

First Name

JENNY

Middle

MICHELLE

Last Name

TRISTANO

Business Name

JENNY MICHELLE TRISTANO MD

Original Issue Date

07/01/2009

Effective Date

07/01/2009

Expiration Date

06/30/2012

City

CHICAGO

State

Zip

60605

County

COOK

Specialty/Qualifier

Internal Medicine/Emergency Medicine

Ever Disciplined

LastModifiedDate

08/29/2012