KRISTINA MARIE WAKEMAN MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125065912

License Status

EXPIRED

Business

Title

First Name

KRISTINA

Middle

MARIE

Last Name

WAKEMAN

Business Name

KRISTINA MARIE WAKEMAN MD

Original Issue Date

07/01/2017

Effective Date

07/01/2017

Expiration Date

06/30/2018

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Pathology

Ever Disciplined

LastModifiedDate

10/25/2018