ANTHONY W KITSLAAR MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****24

License Status

ACTIVE

Business

First Name

ANTHONY W

Last Name

KITSLAAR

Suffix

Business Name

ANTHONY W KITSLAAR MD

Original Issue Date

07/16/1986

Effective Date

04/06/2023

Expiration Date

07/31/2026

City

GENEVA

State

Zip

60134

County

KANE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/06/2023