KEITH F IZBAN Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125031691

License Status

EXPIRED

Business

First Name

KEITH F

Last Name

IZBAN

Business Name

KEITH F IZBAN

Original Issue Date

06/06/1994

Effective Date

06/06/1994

Expiration Date

06/30/1997

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Pathology

Ever Disciplined

LastModifiedDate

09/22/2006