TIMOTHY WAYNE MCKEITHAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036062127

License Status

NOT RENEWED

Business

First Name

TIMOTHY WAYNE

Last Name

MCKEITHAN

Suffix

Business Name

TIMOTHY WAYNE MCKEITHAN MD

Original Issue Date

05/13/1981

Effective Date

05/13/1981

Expiration Date

07/31/1999

City

CHICAGO

State

Zip

60615

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006