KIMYSTIAN HARRISON MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036171953

License Status

ACTIVE

Business

Title

First Name

KIMYSTIAN

Last Name

HARRISON

Business Name

KIMYSTIAN HARRISON MD

Original Issue Date

09/12/2024

Effective Date

09/12/2024

Expiration Date

07/31/2026

City

SAINT LOUIS

State

Zip

63110

Ever Disciplined

LastModifiedDate

09/12/2024