LIBBY K KRISTAL MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036062570

License Status

INACTIVE

Business

First Name

LIBBY K

Last Name

KRISTAL

Suffix

Business Name

LIBBY K KRISTAL MD

Original Issue Date

07/27/1981

Effective Date

07/19/2017

Expiration Date

09/30/2020

City

OTTAWA

State

Zip

61350

County

LA SALLE

Ever Disciplined

LastModifiedDate

04/05/2020