ROLAND MARIUSZ KITLAS MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****94

License Status

ACTIVE

Business

First Name

ROLAND

Middle

MARIUSZ

Last Name

KITLAS

Suffix

Business Name

ROLAND MARIUSZ KITLAS MD

Original Issue Date

12/21/2015

Effective Date

06/07/2023

Expiration Date

07/31/2026

City

OAK LAWN

State

Zip

60453

County

LAKE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/07/2023