JOHN CHARLES KEITH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036116795

License Status

NOT RENEWED

Business

First Name

JOHN

Middle

CHARLES

Last Name

KEITH

Suffix

Business Name

JOHN CHARLES KEITH MD

Original Issue Date

08/22/2006

Effective Date

06/18/2008

Expiration Date

07/31/2011

City

EVANSTON

State

Zip

60201

County

COOK

Ever Disciplined

LastModifiedDate

11/14/2011