KRISTINA L CASEY Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****44

License Status

CANCELLED

Business

First Name

KRISTINA

Middle

Last Name

CASEY

Business Name

KRISTINA L CASEY

Original Issue Date

03/26/2003

Effective Date

03/26/2003

Expiration Date

07/31/2005

City

CHICAGO

State

Zip

60625

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006