THOMAS C KILLEEN DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125053948

License Status

EXPIRED

Business

First Name

THOMAS

Middle

Last Name

KILLEEN

Suffix

Business Name

THOMAS C KILLEEN DO

Original Issue Date

06/30/2009

Effective Date

06/30/2009

Expiration Date

06/29/2011

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

07/19/2011