KEITH B MACDONELL MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036071973

License Status

ACTIVE

Business

First Name

KEITH B

Last Name

MACDONELL

Suffix

Business Name

KEITH B MACDONELL MD

Original Issue Date

10/31/1985

Effective Date

05/12/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60625

Ever Disciplined

LastModifiedDate

05/12/2023