KRISTIN V STAHL MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****01

License Status

ACTIVE

Business

First Name

KRISTIN

Middle

Last Name

STAHL

Suffix

Business Name

KRISTIN V STAHL MD

Original Issue Date

06/07/1999

Effective Date

06/22/2023

Expiration Date

07/31/2026

City

COLLINSVILLE

State

Zip

62234

County

MADISON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/22/2023