| | Physician Last Name: | Ciesla |
| | Physician First Name: | Thomas |
| | Physician Middle Name: | K. |
| | Address: | 1301 20th St., Suite 212,
Santa Monica, CA. 90404 |
| | License Number: | 089904 |
| | License Type: | MD |
| | Year of Birth: |
1935
|
| | Effective Date: | 07/14/2020 |
| | Action Description for DOH Webpage: | License surrender. |
| | Misconduct Description for DOH Webpage: | The physician asserted he could not successfully defend against the alleged professional misconduct of having been disciplined by the Medical Board of California for failing to maintain adequate and accurate medical records. |
| | License Limitations or Conditions for DOH Webpage: | |
| | Board Order: |
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