KEITH DUFFY MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125054601

License Status

CANCELLED

Business

First Name

KEITH

Last Name

DUFFY

Suffix

Business Name

KEITH DUFFY MD

Original Issue Date

07/01/2008

Effective Date

07/01/2008

Expiration Date

06/30/2009

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Dermatopathology

Ever Disciplined

LastModifiedDate

05/30/2008