BETTY S KIERSTEAD MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036090269

License Status

INACTIVE

Business

First Name

BETTY S

Last Name

KIERSTEAD

Suffix

Business Name

BETTY S KIERSTEAD MD

Original Issue Date

03/02/1995

Effective Date

03/02/1995

Expiration Date

07/31/1999

City

SUBLIMITY

State

Zip

97385

County

OREGON

Ever Disciplined

LastModifiedDate

09/20/2006