KRYSTLE NICOLE LANGE DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036143818

License Status

ACTIVE

Business

Title

First Name

KRYSTLE

Middle

NICOLE

Last Name

LANGE

Business Name

KRYSTLE NICOLE LANGE DO

Original Issue Date

07/13/2017

Effective Date

06/28/2023

Expiration Date

07/31/2026

City

BELVIDERE

State

Zip

61008

County

BOONE

Ever Disciplined

LastModifiedDate

06/28/2023