KATHLEEN M KICSAK MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****97

License Status

ACTIVE

Business

First Name

KATHLEEN M

Last Name

KICSAK

Suffix

Business Name

KATHLEEN M KICSAK MD

Original Issue Date

04/28/1995

Effective Date

04/20/2023

Expiration Date

07/31/2026

City

LOMBARD

State

Zip

60148

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/20/2023