KEITH L HARLAN MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125022271

License Status

EXPIRED

Business

First Name

KEITH L

Last Name

HARLAN

Suffix

Business Name

KEITH L HARLAN MD

Original Issue Date

05/11/1988

Effective Date

05/11/1988

Expiration Date

07/01/1992

City

CHICAGO

State

Zip

60616

County

COOK

Specialty/Qualifier

Anesthesiology

Ever Disciplined

LastModifiedDate

09/22/2006