KRISTINA ELIZABETH STIBITZ MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125072730

License Status

CANCELLED

Business

Title

First Name

KRISTINA

Middle

ELIZABETH

Last Name

STIBITZ

Business Name

KRISTINA ELIZABETH STIBITZ MD

Original Issue Date

06/25/2018

Effective Date

06/25/2018

Expiration Date

06/24/2021

City

SYCAMORE

State

Zip

60178

County

DEKALB

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

05/23/2018