ANA LUIZA KEPPKE MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125052104

License Status

CANCELLED

Business

First Name

ANA

Middle

LUIZA

Last Name

KEPPKE

Suffix

Business Name

ANA LUIZA KEPPKE MD

Original Issue Date

07/01/2006

Effective Date

07/01/2006

Expiration Date

06/30/2009

City

CHICAGO

State

Zip

60657

County

COOK

Specialty/Qualifier

Diagnostic Radiology

Ever Disciplined

LastModifiedDate

09/22/2006