KRISTINE LOREN CIESLAK MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

LIMITED MEDICAL TEMPORARY PERMIT

License Number

130000298

License Status

EXPIRED

Business

First Name

KRISTINE

Middle

LOREN

Last Name

CIESLAK

Suffix

Business Name

KRISTINE LOREN CIESLAK MD

Original Issue Date

09/14/1995

Effective Date

09/14/1995

Expiration Date

04/02/2000

City

HINSDALE

State

Zip

60521

County

DUPAGE

Ever Disciplined

LastModifiedDate

09/25/2006