KEENAN C WANAMAKER DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036140973

License Status

NOT RENEWED

Business

Title

First Name

KEENAN

Middle

Last Name

WANAMAKER

Business Name

KEENAN C WANAMAKER DO

Original Issue Date

06/17/2016

Effective Date

06/21/2017

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60610

County

COOK

Ever Disciplined

LastModifiedDate

01/14/2021