INGRID BETTINA KJELLIN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036122003

License Status

NOT RENEWED

Business

First Name

INGRID

Middle

BETTINA

Last Name

KJELLIN

Suffix

Business Name

INGRID BETTINA KJELLIN MD

Original Issue Date

09/26/2008

Effective Date

07/20/2020

Expiration Date

07/31/2023

City

BRENTWOOD

State

Zip

37027

County

WILLIAMSON

Ever Disciplined

LastModifiedDate

11/30/2023