KRISTA JO CHILDRESS MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125059449

License Status

EXPIRED

Business

First Name

KRISTA

Middle

Last Name

CHILDRESS

Suffix

Business Name

KRISTA JO CHILDRESS MD

Original Issue Date

06/23/2014

Effective Date

06/23/2014

Expiration Date

06/22/2015

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Obstetrics and Gynecology

Ever Disciplined

LastModifiedDate

09/04/2015