KIRSTEN HELENA FILL MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125075302

License Status

EXPIRED

Business

Title

First Name

KIRSTEN

Middle

HELENA

Last Name

FILL

Business Name

KIRSTEN HELENA FILL MD

Original Issue Date

08/12/2019

Effective Date

08/12/2019

Expiration Date

08/11/2021

City

CHICAGO

State

Zip

60640

County

COOK

Specialty/Qualifier

Anesthesiology

Ever Disciplined

LastModifiedDate

10/11/2022