KRISTIN LEE MOORE MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125058402

License Status

CANCELLED

Business

Title

First Name

KRISTIN

Middle

LEE

Last Name

MOORE

Business Name

KRISTIN LEE MOORE MD

Original Issue Date

07/01/2013

Effective Date

07/01/2013

Expiration Date

06/30/2014

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Psychiatry

Ever Disciplined

LastModifiedDate

03/24/2014