KIMBERLY PISTELL DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

VISITING RESIDENT

License Number

188001005

License Status

EXPIRED

Business

Title

First Name

KIMBERLY

Last Name

PISTELL

Business Name

KIMBERLY PISTELL DO

Original Issue Date

01/08/2023

Effective Date

01/08/2023

Expiration Date

07/07/2023

City

ROCKFORD

State

Zip

61108

Specialty/Qualifier

Trauma Rotation

Ever Disciplined

LastModifiedDate

03/06/2024