CYNTHIA G KRISTENSEN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****94

License Status

NOT RENEWED

Business

First Name

CYNTHIA G

Last Name

KRISTENSEN

Suffix

Business Name

CYNTHIA G KRISTENSEN MD

Original Issue Date

04/23/1984

Effective Date

04/23/1984

Expiration Date

07/31/1987

City

CHICAGO

State

Zip

60637

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006