KEITH P MINIHANE MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036109086

License Status

INACTIVE

Business

First Name

KEITH

Middle

Last Name

MINIHANE

Suffix

Business Name

KEITH P MINIHANE MD

Original Issue Date

04/24/2003

Effective Date

06/22/2011

Expiration Date

07/31/2014

City

MENDOTA

State

Zip

61342

County

LA SALLE

Ever Disciplined

LastModifiedDate

04/08/2014