WILLIAM RYAN KISKER Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

DENTAL SEDATION PERMIT

License Number

137000690

License Status

INACTIVE

Business

First Name

WILLIAM

Middle

RYAN

Last Name

KISKER

Business Name

WILLIAM RYAN KISKER

Original Issue Date

11/09/2006

Effective Date

07/14/2015

Expiration Date

09/30/2018

City

KENOSHA

State

Zip

53144

County

LAKE

Specialty/Qualifier

CONSCIOUS SEDATION, PARENTERAL

Ever Disciplined

LastModifiedDate

11/20/2017

Case Number

2016009957

Action

Voluntary Surrender

Discipline Start Date

11/20/2017

Discipline Reason

for negligence in administration of sedation that resulted in patient's death.