KEITH ALBERT CENGEL MD - Medical Doctor License in Illinois | # 125042308

KEITH ALBERT CENGEL MD

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125042308

License Status

EXPIRED

Business

N

First Name

KEITH

Middle

ALBERT

Last Name

CENGEL

Suffix

MD

Business Name

KEITH ALBERT CENGEL MD

Original Issue Date

05/22/2001

Effective Date

05/22/2001

Expiration Date

05/21/2002

State

IL

Specialty/Qualifier

Internal Medicine

Ever Disciplined

N

LastModifiedDate

09/22/2006