JOHN M KISALA MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036067794

License Status

INACTIVE

Business

First Name

JOHN M

Last Name

KISALA

Suffix

Business Name

JOHN M KISALA MD

Original Issue Date

10/13/1983

Effective Date

10/13/1983

Expiration Date

07/31/1987

City

EAST LANSING

State

Zip

48823

County

MICHIGAN

Ever Disciplined

LastModifiedDate

09/20/2006