KEITH R FISH MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036119749

License Status

ACTIVE

Business

First Name

KEITH

Middle

Last Name

FISH

Suffix

Business Name

KEITH R FISH MD

Original Issue Date

11/28/2007

Effective Date

04/11/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60625

County

COOK

Ever Disciplined

LastModifiedDate

04/11/2023