KRYSTAL NICHOLE TRUMP DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125074010

License Status

EXPIRED

Business

Title

First Name

KRYSTAL

Middle

NICHOLE

Last Name

TRUMP

Business Name

KRYSTAL NICHOLE TRUMP DO

Original Issue Date

07/01/2019

Effective Date

07/01/2019

Expiration Date

06/30/2022

City

LAGRANGE

State

Zip

60525

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

10/11/2022