BLAINE A KEIGLEY MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125015820

License Status

EXPIRED

Business

First Name

BLAINE A

Last Name

KEIGLEY

Suffix

Business Name

BLAINE A KEIGLEY MD

Original Issue Date

06/15/1983

Effective Date

06/15/1983

Expiration Date

06/27/1985

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Diagnostic Radiology

Ever Disciplined

LastModifiedDate

09/22/2006