KEITH JACOB KAPLAN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036112263

License Status

ACTIVE

Business

Title

First Name

KEITH

Middle

JACOB

Last Name

KAPLAN

Business Name

KEITH JACOB KAPLAN MD

Original Issue Date

09/02/2004

Effective Date

05/25/2023

Expiration Date

07/31/2026

City

ELK GROVE VILLAGE

State

Zip

60007

County

COOK

Ever Disciplined

LastModifiedDate

05/25/2023