PATRICIA ANN KINSELLA-STALLTER DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036101480

License Status

ACTIVE

Business

First Name

PATRICIA

Middle

ANN

Last Name

KINSELLA-STALLTER

Suffix

Business Name

PATRICIA ANN KINSELLA-STALLTER DO

Original Issue Date

10/15/1999

Effective Date

04/08/2023

Expiration Date

07/31/2026

City

AURORA

State

Zip

60504

County

KANE

Ever Disciplined

LastModifiedDate

04/08/2023