PATRICIA ANN KINSELLA-STALLTER DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****88

License Status

ACTIVE

Business

First Name

PATRICIA

Middle

ANN

Last Name

KINSELLA-STALLTER

Suffix

Business Name

PATRICIA ANN KINSELLA-STALLTER DO

Original Issue Date

11/04/1999

Effective Date

04/08/2023

Expiration Date

07/31/2026

City

AURORA

State

Zip

60504

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/08/2023