KRISTEN D UDELL Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125035550

License Status

EXPIRED

Business

First Name

KRISTEN

Middle

Last Name

UDELL

Business Name

KRISTEN D UDELL

Original Issue Date

09/25/1996

Effective Date

09/25/1996

Expiration Date

09/23/1997

City

BELLEVILLE

State

Zip

62220

County

SAINT CLAIR

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006