License holder summary

TIMOTHY ANTHONY KISLA is a Medical Residency Permit licensed to practice in Indiana. The address on file for TIMOTHY ANTHONY KISLA is BROOKFIELD IL 60513. This licensed professional license is not current. The license was granted 04/08/1996 and expired on 03/31/1998.

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

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