YANA KIESAU MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125047577

License Status

CANCELLED

Business

First Name

YANA

Last Name

KIESAU

Suffix

Business Name

YANA KIESAU MD

Original Issue Date

06/21/2007

Effective Date

06/21/2007

Expiration Date

06/20/2008

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Ophthalmology

Ever Disciplined

LastModifiedDate

05/07/2007