JUSTIN KEENE KWAK MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125050281

License Status

EXPIRED

Business

First Name

JUSTIN

Middle

KEENE

Last Name

KWAK

Suffix

Business Name

JUSTIN KEENE KWAK MD

Original Issue Date

07/01/2005

Effective Date

07/01/2005

Expiration Date

06/30/2008

City

NAPERVILLE

State

Zip

60564

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

07/31/2008