KEVIN RYAN KALISZ MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036147465

License Status

NOT RENEWED

Business

First Name

KEVIN

Middle

RYAN

Last Name

KALISZ

Suffix

Business Name

KEVIN RYAN KALISZ MD

Original Issue Date

09/20/2018

Effective Date

09/20/2018

Expiration Date

09/30/2020

City

MORTON GROVE

State

Zip

60053

County

COOK

Ever Disciplined

LastModifiedDate

01/14/2021