CHARLES W KIESER MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036056938

License Status

INACTIVE

Business

First Name

CHARLES W

Last Name

KIESER

Suffix

Business Name

CHARLES W KIESER MD

Original Issue Date

06/28/1978

Effective Date

06/11/2008

Expiration Date

07/31/2011

City

LAWRENCEVILLE

State

Zip

30043

County

GEORGIA

Ever Disciplined

LastModifiedDate

04/07/2011