KEITH L SHULMAN MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125016342

License Status

EXPIRED

Business

First Name

KEITH L

Last Name

SHULMAN

Suffix

Business Name

KEITH L SHULMAN MD

Original Issue Date

08/01/1983

Effective Date

08/01/1983

Expiration Date

06/27/1985

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006