KEITH L CALLAHAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036097813

License Status

NOT RENEWED

Business

First Name

KEITH

Middle

Last Name

CALLAHAN

Suffix

Business Name

KEITH L CALLAHAN MD

Original Issue Date

05/11/1998

Effective Date

07/31/2006

Expiration Date

07/31/2008

City

HILLSIDE

State

Zip

60302

County

DUPAGE

Ever Disciplined

LastModifiedDate

11/06/2008