MARK LOREN KELDAHL MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036117220

License Status

ACTIVE

Business

First Name

MARK

Middle

LOREN

Last Name

KELDAHL

Suffix

Business Name

MARK LOREN KELDAHL MD

Original Issue Date

11/29/2006

Effective Date

04/05/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60657

County

COOK

Ever Disciplined

LastModifiedDate

04/05/2023