KRISTINE TAN GAPUZ MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125080559

License Status

EXPIRED

Business

Title

First Name

KRISTINE

Middle

TAN

Last Name

GAPUZ

Business Name

KRISTINE TAN GAPUZ MD

Original Issue Date

07/01/2022

Effective Date

07/01/2022

Expiration Date

06/30/2024

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Nephrology

Ever Disciplined

LastModifiedDate

10/30/2024