THOMAS WOLCOTT KIESLER MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****04

License Status

ACTIVE

Business

First Name

THOMAS

Middle

WOLCOTT

Last Name

KIESLER

Suffix

Business Name

THOMAS WOLCOTT KIESLER MD

Original Issue Date

05/14/2001

Effective Date

05/17/2023

Expiration Date

07/31/2026

City

WARRENVILLE

State

Zip

60555

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/17/2023