ROBERT LOUIS KISTNER JR MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036150339

License Status

NOT RENEWED

Business

Title

First Name

ROBERT

Middle

LOUIS

Last Name

KISTNER

Suffix

Business Name

ROBERT LOUIS KISTNER JR MD

Original Issue Date

07/26/2019

Effective Date

07/26/2019

Expiration Date

09/30/2020

City

PHOENIX

State

Zip

85076

Ever Disciplined

LastModifiedDate

01/14/2021