KRISTEN IRENE PADILLA DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125061352

License Status

CANCELLED

Business

Title

First Name

KRISTEN

Middle

IRENE

Last Name

PADILLA

Business Name

KRISTEN IRENE PADILLA DO

Original Issue Date

07/01/2012

Effective Date

07/01/2012

Expiration Date

06/30/2015

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

03/24/2014