MELISSA ASHLEY KEENE MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125058596

License Status

CANCELLED

Business

Title

First Name

MELISSA

Middle

ASHLEY

Last Name

KEENE

Business Name

MELISSA ASHLEY KEENE MD

Original Issue Date

06/23/2013

Effective Date

06/23/2013

Expiration Date

06/22/2014

City

EVANSTON

State

Zip

60201

County

COOK

Specialty/Qualifier

Obstetrics and Gynecology

Ever Disciplined

LastModifiedDate

03/24/2014