DIANE C KRALL Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****68

License Status

ACTIVE

Business

First Name

DIANE

Middle

Last Name

KRALL

Business Name

DIANE C KRALL

Original Issue Date

07/26/2004

Effective Date

08/17/2023

Expiration Date

07/31/2026

City

TREMONT

State

Zip

61568

County

TAZEWELL

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/17/2023