DIANE C KRALL Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036111933

License Status

ACTIVE

Business

First Name

DIANE

Middle

Last Name

KRALL

Business Name

DIANE C KRALL

Original Issue Date

07/23/2004

Effective Date

08/17/2023

Expiration Date

07/31/2026

City

TREMONT

State

Zip

61568

County

TAZEWELL

Ever Disciplined

LastModifiedDate

08/17/2023