DALTON LOUIS KINSELLA JR MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****63

License Status

NOT RENEWED

Business

First Name

DALTON LOUIS

Last Name

KINSELLA JR

Suffix

Business Name

DALTON LOUIS KINSELLA JR MD

Original Issue Date

01/01/1997

Expiration Date

07/31/1984

City

KANKAKEE

State

Zip

60901

County

KANKAKEE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006