LOUIS KEITH MADISON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036055749

License Status

NOT RENEWED

Business

First Name

LOUIS KEITH

Last Name

MADISON

Suffix

Business Name

LOUIS KEITH MADISON MD

Original Issue Date

09/23/1977

Effective Date

09/23/1977

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006