KRISTEN EMILY PELLEGRINO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****97

License Status

NOT RENEWED

Business

First Name

KRISTEN

Middle

EMILY

Last Name

PELLEGRINO

Suffix

Business Name

KRISTEN EMILY PELLEGRINO MD

Original Issue Date

02/23/2010

Effective Date

05/11/2011

Expiration Date

07/31/2014

City

BERWYN

State

Zip

60402

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014