BEATA AGNIESZKA KISIEL MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****19

License Status

ACTIVE

Business

First Name

BEATA

Middle

AGNIESZKA

Last Name

KISIEL

Suffix

Business Name

BEATA AGNIESZKA KISIEL MD

Original Issue Date

03/02/2004

Effective Date

07/01/2023

Expiration Date

07/31/2026

City

JOLIET

State

Zip

60435

County

WILL

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2023