BEATA AGNIESZKA KISIEL MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125042227

License Status

EXPIRED

Business

First Name

BEATA

Middle

AGNIESZKA

Last Name

KISIEL

Suffix

Business Name

BEATA AGNIESZKA KISIEL MD

Original Issue Date

03/28/2001

Effective Date

03/28/2001

Expiration Date

06/23/2004

City

EVANSTON

State

Zip

60202

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006