KISHA VANTERPOOL MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****89

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

County

PENNSYLVANIA

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/16/2023