KISHA VANTERPOOL MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036139805

License Status

ACTIVE

Business

Title

First Name

KISHA

Last Name

VANTERPOOL

Business Name

KISHA VANTERPOOL MD

Original Issue Date

02/18/2016

Effective Date

06/16/2023

Expiration Date

07/31/2026

City

PHILADELPHIA

State

Zip

19119

Ever Disciplined

LastModifiedDate

06/16/2023