TIMOTHY ANTHONY KISLA DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036097974

License Status

ACTIVE

Business

First Name

TIMOTHY

Middle

ANTHONY

Last Name

KISLA

Suffix

Business Name

TIMOTHY ANTHONY KISLA DO

Original Issue Date

06/09/1998

Effective Date

04/06/2023

Expiration Date

07/31/2026

City

NEW LENOX

State

Zip

60451

County

WILL

Ever Disciplined

LastModifiedDate

04/06/2023