KRISTEN NICCOLE JAMES MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****65

License Status

ACTIVE

Business

Title

First Name

KRISTEN

Middle

NICCOLE

Last Name

JAMES

Business Name

KRISTEN NICCOLE JAMES MD

Original Issue Date

07/15/2019

Effective Date

07/01/2023

Expiration Date

07/31/2026

City

GLEN CARBON

State

Zip

62034

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/01/2023