KRISTIA PATRICE ABERNATHY MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125074342

License Status

EXPIRED

Business

Title

First Name

KRISTIA

Middle

PATRICE

Last Name

ABERNATHY

Business Name

KRISTIA PATRICE ABERNATHY MD

Original Issue Date

06/26/2019

Effective Date

06/26/2019

Expiration Date

06/25/2022

City

SPRINGFIELD

State

Zip

62701

County

SANGAMON

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

10/11/2022