KETH M PRIDE MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

LIMITED MEDICAL TEMPORARY PERMIT

License Number

130001087

License Status

EXPIRED

Business

Title

First Name

KETH

Middle

Last Name

PRIDE

Business Name

KETH M PRIDE MD

Original Issue Date

01/01/2016

Effective Date

01/01/2016

Expiration Date

06/30/2016

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Anesthesiology

Ever Disciplined

LastModifiedDate

08/16/2016