KEITH BRIAN NAYLOR MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125049761

License Status

CANCELLED

Business

First Name

KEITH

Middle

BRIAN

Last Name

NAYLOR

Suffix

Business Name

KEITH BRIAN NAYLOR MD

Original Issue Date

06/24/2005

Effective Date

06/24/2005

Expiration Date

06/23/2008

City

CHICAGO

State

Zip

60612

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006