CHARLES ANTHONY KEANE MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

LIMITED MEDICAL TEMPORARY PERMIT

License Number

130001632

License Status

EXPIRED

Business

Title

First Name

CHARLES

Middle

ANTHONY

Last Name

KEANE

Business Name

CHARLES ANTHONY KEANE MD

Original Issue Date

11/01/2024

Effective Date

11/01/2024

Expiration Date

11/30/2024

City

CHICAGO,

State

Zip

60611

Specialty/Qualifier

General Surgery

Ever Disciplined

LastModifiedDate

10/29/2025