LESTER HERBERT KITTILSEN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****02

License Status

NOT RENEWED

Business

First Name

LESTER HERBERT

Last Name

KITTILSEN

Suffix

Business Name

LESTER HERBERT KITTILSEN MD

Original Issue Date

01/01/1997

Expiration Date

01/01/1997

City

DIAMOND CITY

State

Zip

72644

County

ARKANSAS

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

09/26/2006