KEVIN RYAN KALISZ MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****17

License Status

NOT RENEWED

Business

First Name

KEVIN

Middle

RYAN

Last Name

KALISZ

Suffix

Business Name

KEVIN RYAN KALISZ MD

Original Issue Date

06/25/2019

Effective Date

06/25/2019

Expiration Date

09/30/2020

City

MORTON GROVE

State

Zip

60053

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021