BETTY S KIERSTEAD MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****41

License Status

NOT RENEWED

Business

First Name

BETTY S

Last Name

KIERSTEAD

Suffix

Business Name

BETTY S KIERSTEAD MD

Original Issue Date

03/15/1995

Effective Date

03/15/1995

Expiration Date

07/31/1999

City

OLNEY

State

Zip

62450

County

RICHLAND

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006