KRISTINE ADELL DETTLOFF MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036162934

License Status

NOT RENEWED

Business

Title

First Name

KRISTINE

Middle

ADELL

Last Name

DETTLOFF

Business Name

KRISTINE ADELL DETTLOFF MD

Original Issue Date

11/16/2022

Effective Date

11/16/2022

Expiration Date

07/31/2023

City

CHEVY CHASE

State

Zip

20815

County

MONTGOMERY

Ever Disciplined

LastModifiedDate

11/30/2023