NICHOLAS PAUL KEEVEN Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125074970

License Status

EXPIRED

Business

First Name

NICHOLAS

Middle

PAUL

Last Name

KEEVEN

Business Name

NICHOLAS PAUL KEEVEN

Original Issue Date

06/24/2019

Effective Date

06/24/2019

Expiration Date

06/23/2022

City

OAK LAWN

State

Zip

60453

County

COOK

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

LastModifiedDate

10/11/2022