KEITH R THOMAE MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125022375

License Status

EXPIRED

Business

First Name

KEITH R

Last Name

THOMAE

Suffix

Business Name

KEITH R THOMAE MD

Original Issue Date

05/13/1988

Effective Date

05/13/1988

Expiration Date

07/01/1991

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Addiction Psychiatry

Ever Disciplined

LastModifiedDate

09/22/2006