KRISTEN ELAINE MUSSETT DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125076801

License Status

EXPIRED

Business

Title

First Name

KRISTEN

Middle

ELAINE

Last Name

MUSSETT

Business Name

KRISTEN ELAINE MUSSETT DO

Original Issue Date

07/01/2020

Effective Date

07/01/2020

Expiration Date

06/30/2023

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

03/06/2024