RONALD L KISSEL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****26

License Status

NOT RENEWED

Business

First Name

RONALD L

Last Name

KISSEL

Suffix

Business Name

RONALD L KISSEL MD

Original Issue Date

02/20/2002

Effective Date

02/20/2002

Expiration Date

07/31/2008

City

GLEN ELLYN

State

Zip

60137

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/12/2017