KEITH ROBERT PITCHFORD DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125024933

License Status

EXPIRED

Business

First Name

KEITH ROBERT

Last Name

PITCHFORD

Suffix

Business Name

KEITH ROBERT PITCHFORD DO

Original Issue Date

05/22/1990

Effective Date

05/22/1990

Expiration Date

06/21/1993

City

CHICAGO

State

Zip

60615

County

COOK

Specialty/Qualifier

Family Practice & OMT

Ever Disciplined

LastModifiedDate

09/22/2006