RONALD L KISSEL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****36

License Status

NOT RENEWED

Business

First Name

RONALD L

Last Name

KISSEL

Suffix

Business Name

RONALD L KISSEL MD

Original Issue Date

09/21/1982

Effective Date

05/27/2011

Expiration Date

07/31/2014

City

CHICAGO

State

Zip

60623

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/12/2017