KRISTEN DANIELLE WHITAKER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****86

License Status

NOT RENEWED

Business

Title

First Name

KRISTEN

Middle

DANIELLE

Last Name

WHITAKER

Business Name

KRISTEN DANIELLE WHITAKER MD

Original Issue Date

02/23/2015

Effective Date

06/26/2017

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60615

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021