KEITH E KUCERA DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125023151

License Status

EXPIRED

Business

First Name

KEITH E

Last Name

KUCERA

Suffix

Business Name

KEITH E KUCERA DO

Original Issue Date

09/01/1988

Effective Date

09/01/1988

Expiration Date

08/31/1991

City

CHICAGO

State

Zip

60615

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006