KRISTA MCEWAN MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125077925

License Status

EXPIRED

Business

Title

First Name

KRISTA

Last Name

MCEWAN

Business Name

KRISTA MCEWAN MD

Original Issue Date

06/26/2024

Effective Date

06/26/2024

Expiration Date

07/19/2024

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

10/30/2024