BRIDGET LYNN KISTNER MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125066425

License Status

EXPIRED

Business

Title

First Name

BRIDGET

Middle

LYNN

Last Name

KISTNER

Business Name

BRIDGET LYNN KISTNER MD

Original Issue Date

06/26/2015

Effective Date

06/26/2015

Expiration Date

06/25/2016

City

SPRINGFIELD

State

Zip

62701

County

SANGAMON

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

08/16/2016