KEITH ALBERT CENGEL MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125042308

License Status

EXPIRED

Business

First Name

KEITH

Middle

ALBERT

Last Name

CENGEL

Suffix

Business Name

KEITH ALBERT CENGEL MD

Original Issue Date

05/22/2001

Effective Date

05/22/2001

Expiration Date

05/21/2002

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006