ANDREA SUZANNA KRISTOFY MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036152054

License Status

INACTIVE

Business

Title

First Name

ANDREA

Middle

SUZANNA

Last Name

KRISTOFY

Business Name

ANDREA SUZANNA KRISTOFY MD

Original Issue Date

03/04/2020

Effective Date

08/19/2020

Expiration Date

07/31/2023

City

PROSPECT

State

Zip

40059

Ever Disciplined

LastModifiedDate

07/18/2023