PETRAS V KISIELIUS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****46

License Status

NOT RENEWED

Business

First Name

PETRAS V

Last Name

KISIELIUS

Suffix

Business Name

PETRAS V KISIELIUS MD

Original Issue Date

08/20/1984

Effective Date

08/20/1984

Expiration Date

07/31/1996

City

CHICAGO

State

Zip

60629

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020