KRISTINE N LIBERTY MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****93

License Status

ACTIVE

Business

First Name

KRISTINE

Middle

Last Name

LIBERTY

Suffix

Business Name

KRISTINE N LIBERTY MD

Original Issue Date

05/08/1998

Effective Date

04/21/2023

Expiration Date

07/31/2026

City

PLAINFIELD

State

Zip

60585

County

WILL

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/21/2023