KRISTOPHER R LANGE DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

VISITING RESIDENT

License Number

188000830

License Status

EXPIRED

Business

Title

First Name

KRISTOPHER

Middle

Last Name

LANGE

Business Name

KRISTOPHER R LANGE DO

Original Issue Date

07/01/2019

Effective Date

07/01/2019

Expiration Date

12/31/2019

City

ROCKFORD

State

Zip

61108

County

WINNEBAGO

Specialty/Qualifier

Trauma Rotation

Ever Disciplined

LastModifiedDate

03/05/2020