CHRISTINA J SMALL MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125074074

License Status

EXPIRED

Business

Title

First Name

CHRISTINA

Middle

Last Name

SMALL

Business Name

CHRISTINA J SMALL MD

Original Issue Date

06/22/2019

Effective Date

06/22/2019

Expiration Date

06/21/2020

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

11/19/2020