KRISTIN M KUDLEY Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****44

License Status

NOT RENEWED

Business

First Name

KRISTIN

Middle

Last Name

KUDLEY

Business Name

KRISTIN M KUDLEY

Original Issue Date

04/10/2003

Effective Date

04/10/2003

Expiration Date

07/31/2008

City

CHICAGO

State

Zip

60614

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/06/2008