KEITH A NOBACK Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125034886

License Status

EXPIRED

Business

First Name

KEITH

Middle

Last Name

NOBACK

Business Name

KEITH A NOBACK

Original Issue Date

06/05/1996

Effective Date

06/05/1996

Expiration Date

06/30/1997

City

CHICAGO

State

Zip

60625

County

COOK

Ever Disciplined

LastModifiedDate

09/22/2006