BRIDGET LYNN KISTNER MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036162130

License Status

ACTIVE

Business

Title

First Name

BRIDGET

Middle

LYNN

Last Name

KISTNER

Business Name

BRIDGET LYNN KISTNER MD

Original Issue Date

08/23/2022

Effective Date

06/09/2023

Expiration Date

07/31/2026

City

SPRINGFIELD

State

Zip

62703

County

SANGAMON

Ever Disciplined

LastModifiedDate

06/09/2023