KEITH LEONARD KRUITHOFF MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036088663

License Status

NOT RENEWED

Business

First Name

KEITH LEONARD

Last Name

KRUITHOFF

Suffix

Business Name

KEITH LEONARD KRUITHOFF MD

Original Issue Date

06/24/1994

Effective Date

06/24/1994

Expiration Date

07/31/1996

City

CHICAGO

State

Zip

60612

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006