KEITH ISAAC BLOCK MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036061051

License Status

ACTIVE

Business

First Name

KEITH ISAAC

Last Name

BLOCK

Suffix

Business Name

KEITH ISAAC BLOCK MD

Original Issue Date

09/26/1980

Effective Date

04/06/2023

Expiration Date

07/31/2026

City

SKOKIE

State

Zip

60077

County

COOK

Ever Disciplined

LastModifiedDate

04/06/2023