AJA ANN LYSTILA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036119163

License Status

ACTIVE

Business

First Name

AJA

Middle

ANN

Last Name

LYSTILA

Suffix

Business Name

AJA ANN LYSTILA MD

Original Issue Date

08/09/2007

Effective Date

04/27/2023

Expiration Date

07/31/2026

City

MATTOON

State

Zip

61938

County

COLES

Ever Disciplined

LastModifiedDate

04/27/2023