RANDALL BART KISER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036129845

License Status

NOT RENEWED

Business

Title

First Name

RANDALL

Middle

BART

Last Name

KISER

Business Name

RANDALL BART KISER MD

Original Issue Date

03/27/2012

Effective Date

06/05/2017

Expiration Date

09/30/2020

City

EDEN PRAIRIE

State

Zip

55344

County

MINNESOTA

Ever Disciplined

LastModifiedDate

01/14/2021