CAMI J KISTENFEGER Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****72

License Status

ACTIVE

Business

First Name

CAMI

Middle

Last Name

KISTENFEGER

Business Name

CAMI J KISTENFEGER

Original Issue Date

10/19/2010

Effective Date

02/12/2026

Expiration Date

03/01/2028

City

DECATUR

State

Zip

62526

County

MACON

Ever Disciplined

LastModifiedDate

02/12/2026