KRISTINA M DELA ROSA MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LIMITED MEDICAL TEMPORARY PERMIT

License Number

130000937

License Status

CANCELLED

Business

Title

First Name

KRISTINA

Middle

Last Name

DELA ROSA

Business Name

KRISTINA M DELA ROSA MD

Original Issue Date

05/02/2013

Effective Date

05/02/2013

Expiration Date

06/01/2013

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Dermatology

Ever Disciplined

LastModifiedDate

12/27/2012