KEITH JOHN SANTIAGO MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125047983

License Status

CANCELLED

Business

First Name

KEITH

Middle

JOHN

Last Name

SANTIAGO

Suffix

Business Name

KEITH JOHN SANTIAGO MD

Original Issue Date

06/21/2007

Effective Date

06/21/2007

Expiration Date

06/20/2009

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Orthopaedic Surgery

Ever Disciplined

LastModifiedDate

04/04/2007