KRISTEN NICOLE BIRD MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125063663

License Status

CANCELLED

Business

Title

First Name

KRISTEN

Middle

NICOLE

Last Name

BIRD

Business Name

KRISTEN NICOLE BIRD MD

Original Issue Date

07/01/2016

Effective Date

07/01/2016

Expiration Date

06/30/2018

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Diagnostic Radiology

Ever Disciplined

LastModifiedDate

03/18/2016