KEITH L KOMNICK MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****09

License Status

ACTIVE

Business

First Name

KEITH L

Last Name

KOMNICK

Suffix

Business Name

KEITH L KOMNICK MD

Original Issue Date

01/27/1989

Effective Date

06/16/2023

Expiration Date

07/31/2026

City

HOFFMAN ESTATES

State

Zip

60169

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/16/2023