CRYSTAL VANESSA CASTANEDA MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125065621

License Status

CANCELLED

Business

Title

First Name

CRYSTAL

Middle

VANESSA

Last Name

CASTANEDA

Business Name

CRYSTAL VANESSA CASTANEDA MD

Original Issue Date

06/24/2014

Effective Date

06/24/2014

Expiration Date

06/23/2017

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

05/19/2014