KEITH M ASHBY MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036076610

License Status

INACTIVE

Business

First Name

KEITH M

Last Name

ASHBY

Suffix

Business Name

KEITH M ASHBY MD

Original Issue Date

01/20/1988

Effective Date

01/20/1988

Expiration Date

07/31/2005

City

CHICAGO

State

Zip

60619

County

COOK

Ever Disciplined

LastModifiedDate

10/09/2006