MATTHEW STEVEN KEENE DPM - Podiatrist License in Illinois | # 135000530

MATTHEW STEVEN KEENE DPM

Business Entity

EXPIRED

License Type

Podiatrist

Description

TEMPORARY PODIATRIC PHYSICIAN

License Number

135000530

License Status

EXPIRED

Business

N

First Name

MATTHEW

Middle

STEVEN

Last Name

KEENE

Suffix

DPM

Business Name

MATTHEW STEVEN KEENE DPM

Original Issue Date

06/16/2003

Effective Date

06/16/2003

Expiration Date

06/30/2004

State

IL

Ever Disciplined

N

LastModifiedDate

02/06/2009