ANDREA SUZANNA KRISTOFY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****29

License Status

NOT RENEWED

Business

Title

First Name

ANDREA

Middle

SUZANNA

Last Name

KRISTOFY

Business Name

ANDREA SUZANNA KRISTOFY MD

Original Issue Date

03/12/2020

Effective Date

08/19/2020

Expiration Date

07/31/2023

City

SPRINGFIELD

State

Zip

62769

County

SANGAMON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023