STACEY MARIE KISTING DC Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED CHIROPRACTIC PHYSICIAN

License Number

038010654

License Status

NOT RENEWED

Business

First Name

STACEY

Middle

MARIE

Last Name

KISTING

Suffix

Business Name

STACEY MARIE KISTING DC

Original Issue Date

03/24/2006

Effective Date

03/24/2006

Expiration Date

07/31/2008

City

CHICAGO

State

Zip

60656

County

COOK

Ever Disciplined

LastModifiedDate

11/06/2008