KYLE EVERETT KISSICK MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125073415

License Status

CANCELLED

Business

Title

First Name

KYLE

Middle

EVERETT

Last Name

KISSICK

Business Name

KYLE EVERETT KISSICK MD

Original Issue Date

07/18/2021

Effective Date

07/18/2021

Expiration Date

07/17/2022

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Pathology

Ever Disciplined

LastModifiedDate

09/14/2022

Case Number

2018005486

Action

Reprimand

Discipline Start Date

09/13/2022

Discipline Reason

temporary medical permit reprimanded for violation of the Department's Agreement of Care, Counseling and Treatment.