CRISTY A ELVING-DIAL MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****92

License Status

ACTIVE

Business

First Name

CRISTY

Middle

Last Name

ELVING-DIAL

Suffix

Business Name

CRISTY A ELVING-DIAL MD

Original Issue Date

10/16/2001

Effective Date

05/02/2023

Expiration Date

07/31/2026

City

JERSEYVILLE

State

Zip

62052

County

JERSEY

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/02/2023