CHRISTINE ANDREA CARLOS MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125060947

License Status

CANCELLED

Business

Title

First Name

CHRISTINE

Middle

ANDREA

Last Name

CARLOS

Business Name

CHRISTINE ANDREA CARLOS MD

Original Issue Date

06/24/2012

Effective Date

06/24/2012

Expiration Date

06/23/2015

City

CHICAGO

State

Zip

60614

County

COOK

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

03/24/2014