Indiana
Professional Licensing Agency
TIMOTHY ANTHONY KISLA
Medical Residency Permit
License number
11007725A
Date granted
04/08/1996
Date expires
03/31/1998
Class
Medical Residency Permit
Status
Expired
Address
BROOKFIELD IL 60513
indianalicensing.org
ID 5969929
LAST UPDATED 2026-06-21 17:55:11 UTC
LAST UPDATED 2026-06-21 17:55:11 UTC
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