KEELY M MARSHALL MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125066760

License Status

EXPIRED

Business

Title

First Name

KEELY

Middle

Last Name

MARSHALL

Business Name

KEELY M MARSHALL MD

Original Issue Date

06/22/2015

Effective Date

06/22/2015

Expiration Date

06/21/2016

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

08/16/2016