KRISTINA M ADDIE MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

LIMITED MEDICAL TEMPORARY PERMIT

License Number

130001303

License Status

EXPIRED

Business

Title

First Name

KRISTINA

Middle

Last Name

ADDIE

Business Name

KRISTINA M ADDIE MD

Original Issue Date

07/29/2019

Effective Date

07/29/2019

Expiration Date

01/28/2020

City

CHICAGO

State

Zip

60611

Specialty/Qualifier

Anesthesiology

Ever Disciplined

LastModifiedDate

03/05/2020