KEITH A KIRBY Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

LIMITED MEDICAL TEMPORARY PERMIT

License Number

130000245

License Status

EXPIRED

Business

First Name

KEITH

Middle

Last Name

KIRBY

Business Name

KEITH A KIRBY

Original Issue Date

05/25/1994

Effective Date

05/25/1994

Expiration Date

07/24/1994

City

CHICAGO

State

Zip

60608

County

COOK

Ever Disciplined

LastModifiedDate

09/25/2006