KATHRYN MICHELLE LEE NOLL DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125060459

License Status

CANCELLED

Business

Title

First Name

KATHRYN

Middle

MICHELLE

Last Name

LEE NOLL

Business Name

KATHRYN MICHELLE LEE NOLL DO

Original Issue Date

07/01/2011

Effective Date

07/01/2011

Expiration Date

06/30/2014

City

CHICAGO

State

Zip

60623

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

03/24/2014