KRISTIN W HOUSEKNECHT MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125067911

License Status

CANCELLED

Business

Title

First Name

KRISTIN

Middle

Last Name

HOUSEKNECHT

Business Name

KRISTIN W HOUSEKNECHT MD

Original Issue Date

10/01/2015

Effective Date

10/01/2015

Expiration Date

09/30/2017

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Radiation Oncology

Ever Disciplined

LastModifiedDate

08/18/2015