ROBERT LOUIS KISTNER JR MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****07

License Status

NOT RENEWED

Business

Title

First Name

ROBERT

Middle

LOUIS

Last Name

KISTNER

Suffix

Business Name

ROBERT LOUIS KISTNER JR MD

Original Issue Date

03/23/2020

Effective Date

03/23/2020

Expiration Date

07/31/2023

City

OLNEY

State

Zip

62450

County

RICHLAND

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023