TIM C KISABETH MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036073254

License Status

ACTIVE

Business

First Name

TIM C

Last Name

KISABETH

Suffix

Business Name

TIM C KISABETH MD

Original Issue Date

07/24/1986

Effective Date

06/10/2023

Expiration Date

07/31/2026

City

JERSEYVILLE

State

Zip

62052

County

JERSEY

Ever Disciplined

LastModifiedDate

06/10/2023