KRISTINA N PONTARELLI MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125063585

License Status

EXPIRED

Business

Title

First Name

KRISTINA

Middle

Last Name

PONTARELLI

Business Name

KRISTINA N PONTARELLI MD

Original Issue Date

06/24/2016

Effective Date

06/24/2016

Expiration Date

06/23/2017

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Obstetrics and Gynecology

Ever Disciplined

LastModifiedDate

09/19/2017