KRISTINE ROSS CARPENTER MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036127366

License Status

ACTIVE

Business

Title

First Name

KRISTINE

Middle

ROSS

Last Name

CARPENTER

Business Name

KRISTINE ROSS CARPENTER MD

Original Issue Date

03/21/2011

Effective Date

06/25/2023

Expiration Date

07/31/2026

City

MATTOON

State

Zip

61938

County

COLES

Ever Disciplined

LastModifiedDate

06/25/2023