TIMOTHY J KIETZMAN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036073602

License Status

ACTIVE

Business

First Name

TIMOTHY

Middle

Last Name

KIETZMAN

Suffix

Business Name

TIMOTHY J KIETZMAN MD

Original Issue Date

08/26/1986

Effective Date

04/15/2023

Expiration Date

07/31/2026

City

WHEATON

State

Zip

60187

County

DUPAGE

Ever Disciplined

LastModifiedDate

04/15/2023