KRISTIN MARIE CHENAULT MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****80

License Status

NOT RENEWED

Business

First Name

KRISTIN

Middle

MARIE

Last Name

CHENAULT

Suffix

Business Name

KRISTIN MARIE CHENAULT MD

Original Issue Date

04/27/2011

Effective Date

05/09/2014

Expiration Date

07/31/2017

City

EVANSTON

State

Zip

60201

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017