LILLIAN RAE HARSTINE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036148271

License Status

NOT RENEWED

Business

Title

First Name

LILLIAN

Middle

RAE

Last Name

HARSTINE

Business Name

LILLIAN RAE HARSTINE MD

Original Issue Date

02/06/2019

Effective Date

02/06/2019

Expiration Date

09/30/2020

City

RIDGWAY

State

Zip

62979

County

GALLATIN

Ever Disciplined

LastModifiedDate

01/14/2021