KELLY ANN KISER MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****03

License Status

ACTIVE

Business

Title

First Name

KELLY

Middle

ANN

Last Name

KISER

Business Name

KELLY ANN KISER MD

Original Issue Date

10/04/2024

Effective Date

10/04/2024

Expiration Date

07/31/2026

City

SAVOY

State

Zip

61874

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/04/2024