KEITH JEREMY WOLFE MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125051443

License Status

EXPIRED

Business

First Name

KEITH

Middle

JEREMY

Last Name

WOLFE

Suffix

Business Name

KEITH JEREMY WOLFE MD

Original Issue Date

06/21/2006

Effective Date

06/21/2006

Expiration Date

06/20/2007

City

CHICAGO

State

Zip

60613

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

07/03/2007