JAY J KIESSLING MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****25

License Status

NOT RENEWED

Business

First Name

JAY J

Last Name

KIESSLING

Suffix

Business Name

JAY J KIESSLING MD

Original Issue Date

08/07/1996

Effective Date

08/07/1996

Expiration Date

07/31/1999

City

FAIRFIELD

State

Zip

62837

County

WAYNE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/11/2017