THOMAS WOLCOTT KIESLER MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****80

License Status

ACTIVE

Business

First Name

THOMAS

Middle

WOLCOTT

Last Name

KIESLER

Suffix

Business Name

THOMAS WOLCOTT KIESLER MD

Original Issue Date

06/10/2008

Effective Date

05/17/2023

Expiration Date

07/31/2026

City

GLEN ELLYN

State

Zip

60137

County

DUPAGE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/17/2023