KRISTINA DIANNE THOMPSON DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125056107

License Status

EXPIRED

Business

Title

First Name

KRISTINA

Middle

DIANNE

Last Name

THOMPSON

Business Name

KRISTINA DIANNE THOMPSON DO

Original Issue Date

07/01/2009

Effective Date

07/01/2009

Expiration Date

06/30/2012

City

NORMAL

State

Zip

61761

County

MCLEAN

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

08/29/2012