THOMAS EARL KEANE MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****64

License Status

ACTIVE

Business

First Name

THOMAS

Middle

EARL

Last Name

KEANE

Suffix

Business Name

THOMAS EARL KEANE MD

Original Issue Date

09/20/2012

Effective Date

04/06/2023

Expiration Date

07/31/2026

City

WASHINGTON

State

Zip

20003

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/06/2023