KEITH D FLACHSBART MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036050039

License Status

NOT RENEWED

Business

First Name

KEITH D

Last Name

FLACHSBART

Suffix

Business Name

KEITH D FLACHSBART MD

Original Issue Date

10/10/1974

Effective Date

10/10/1974

City

CHICAGO

State

Zip

60607

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006