GEORGE L KISTLER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****86

License Status

NOT RENEWED

Business

First Name

GEORGE L

Last Name

KISTLER

Suffix

Business Name

GEORGE L KISTLER MD

Original Issue Date

04/17/1985

Effective Date

04/17/1985

Expiration Date

07/31/1987

City

CHICAGO

State

Zip

60605

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006