KRISTINE LOREN CIESLAK MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****86

License Status

ACTIVE

Business

First Name

KRISTINE

Middle

LOREN

Last Name

CIESLAK

Suffix

Business Name

KRISTINE LOREN CIESLAK MD

Original Issue Date

07/10/2000

Effective Date

04/21/2023

Expiration Date

07/31/2026

City

HINSDALE

State

Zip

60521

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/21/2023