CHRISTOPHER M CHRISTENSEN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****99

License Status

NOT RENEWED

Business

First Name

CHRISTOPHER

Middle

Last Name

CHRISTENSEN

Suffix

Business Name

CHRISTOPHER M CHRISTENSEN MD

Original Issue Date

09/07/1999

Effective Date

09/07/1999

Expiration Date

07/31/2002

City

CHICAGO

State

Zip

60631

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006