KRISTEN JEAN CARROLL MD Medical Doctor License verification

Business Entity

CLOSED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125072552

License Status

CLOSED

Business

Title

First Name

KRISTEN

Middle

JEAN

Last Name

CARROLL

Business Name

KRISTEN JEAN CARROLL MD

Original Issue Date

06/20/2018

Effective Date

06/20/2018

Expiration Date

06/19/2021

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

04/17/2018