Medical Doctor
LICENSED PHYSICIAN AND SURGEON
036129521
NOT RENEWED
N
MD
CORPIA
CHANTLE
KEYES
CORPIA CHANTLE KEYES MD
01/27/2012
10/02/2020
07/31/2023
ST CHARLES
IL
60174
KANE
Y
11/30/2023
2022010806
Suspension
03/06/2023
07/03/2025
Failure to file and/or pay Illinois state income taxes. Notice of tax deficiency release received from Department of Revenue on 07/08/2025.