THOMAS WOLCOTT KIESLER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****31

License Status

NOT RENEWED

Business

First Name

THOMAS

Middle

WOLCOTT

Last Name

KIESLER

Suffix

Business Name

THOMAS WOLCOTT KIESLER MD

Original Issue Date

05/16/2001

Effective Date

05/01/2017

Expiration Date

09/30/2020

City

WARRENVILLE

State

Zip

60555

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021