KEITH JOHN SANTIAGO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036123802

License Status

NOT RENEWED

Business

First Name

KEITH

Middle

JOHN

Last Name

SANTIAGO

Suffix

Business Name

KEITH JOHN SANTIAGO MD

Original Issue Date

06/22/2009

Effective Date

06/22/2009

Expiration Date

07/31/2011

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

11/14/2011