KYLE MICHAEL STANG MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036157009

License Status

ACTIVE

Business

Title

First Name

KYLE

Middle

MICHAEL

Last Name

STANG

Business Name

KYLE MICHAEL STANG MD

Original Issue Date

05/20/2021

Effective Date

06/06/2023

Expiration Date

07/31/2026

City

BLOOMINGTON

State

Zip

61701

County

MCLEAN

Ever Disciplined

LastModifiedDate

06/06/2023