KEITH MICHAEL SOLVANG MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125070239

License Status

CANCELLED

Business

Title

First Name

KEITH

Middle

MICHAEL

Last Name

SOLVANG

Business Name

KEITH MICHAEL SOLVANG MD

Original Issue Date

07/01/2017

Effective Date

07/01/2017

Expiration Date

06/30/2020

City

CHICAGO

State

Zip

60631

County

COOK

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

LastModifiedDate

04/27/2017