JONATHAN P KNISELY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****87

License Status

NOT RENEWED

Business

First Name

JONATHAN P

Last Name

KNISELY

Suffix

Business Name

JONATHAN P KNISELY MD

Original Issue Date

06/14/1988

Effective Date

06/14/1988

Expiration Date

07/31/1990

City

CHICAGO

State

Zip

60605

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006