RICHARD T KISSELL DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125083433

License Status

ACTIVE

Business

Title

First Name

RICHARD

Middle

Last Name

KISSELL

Business Name

RICHARD T KISSELL DO

Original Issue Date

07/01/2024

Effective Date

07/01/2024

Expiration Date

06/30/2027

City

CHICAGO

State

Zip

60625

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

05/03/2024