KIRSTEN H POND MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****78

License Status

CANCELLED

Business

First Name

KIRSTEN

Middle

Last Name

POND

Suffix

Business Name

KIRSTEN H POND MD

Original Issue Date

07/07/1999

Effective Date

07/07/1999

Expiration Date

07/31/2008

City

ELMHURST

State

Zip

60126

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/17/2008