KEITH DENISON MC DANIEL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036068558

License Status

NOT RENEWED

Business

First Name

KEITH DENISON

Last Name

MC DANIEL

Suffix

Business Name

KEITH DENISON MC DANIEL MD

Original Issue Date

04/25/1984

Effective Date

04/25/1984

Expiration Date

07/31/1987

City

CHICAGO

State

Zip

60680

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006