KRISTIN ELOIS LUCAS MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125068797

License Status

CANCELLED

Business

Title

First Name

KRISTIN

Middle

ELOIS

Last Name

LUCAS

Business Name

KRISTIN ELOIS LUCAS MD

Original Issue Date

06/25/2019

Effective Date

06/25/2019

Expiration Date

02/03/2020

City

PARK RIDGE

State

Zip

60068

County

COOK

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

06/08/2019