GOTTFRIED R VON KEUDELL MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125060425

License Status

EXPIRED

Business

First Name

GOTTFRIED

Middle

Last Name

VON KEUDELL

Suffix

Business Name

GOTTFRIED R VON KEUDELL MD

Original Issue Date

07/01/2014

Effective Date

07/01/2014

Expiration Date

06/30/2015

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Hematology and Oncology

Ever Disciplined

LastModifiedDate

09/04/2015