License holder summary

Lisa Marie Kistner is a Medical - Physician And Surgeon licensed to practice in Minnesota. The address on file for Lisa Marie Kistner is 612 Gramercy Street, Winston-Salem, NC 27104. This doctor license is not current. The license was granted 07/08/1989 and expired on 07/31/2003.

Department of Safety and Professional Services

Board of Medical Practice

Lisa Marie Kistner
Medical - Physician And Surgeon
License number
32886
Date granted
07/08/1989
Date expires
07/31/2003
Class
Medical - Physician And Surgeon
Status
Canceled
Address
612 Gramercy Street, Winston-Salem, NC 27104
doctorsminnesota.org
ID 22235759
LAST UPDATED 2026-04-13 08:33:11 UTC

This website is unaffiliated with the Board of Medical Practice. Please verify all information directly with the relevant official government authority.

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