JOHN M KISALA MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125013296

License Status

EXPIRED

Business

First Name

JOHN M

Last Name

KISALA

Suffix

Business Name

JOHN M KISALA MD

Original Issue Date

07/14/1981

Effective Date

07/14/1981

Expiration Date

07/01/1983

City

CHICAGO

State

Zip

60616

County

COOK

Specialty/Qualifier

Addiction Psychiatry

Ever Disciplined

LastModifiedDate

09/22/2006