MARK E KEIM Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125027374

License Status

EXPIRED

Business

First Name

MARK

Middle

Last Name

KEIM

Business Name

MARK E KEIM

Original Issue Date

07/02/1991

Effective Date

07/02/1991

Expiration Date

07/22/1994

City

SPRINGFIELD

State

Zip

62794

County

SANGAMON

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006