MICHAEL KULISZ DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****35

License Status

ACTIVE

Business

First Name

MICHAEL

Last Name

KULISZ

Suffix

Business Name

MICHAEL KULISZ DO

Original Issue Date

10/20/1988

Effective Date

06/29/2023

Expiration Date

07/31/2026

City

ST CHARLES

State

Zip

60174

County

KANE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/29/2023