KEITH M ASHBY MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****14

License Status

CANCELLED

Business

First Name

KEITH M

Last Name

ASHBY

Suffix

Business Name

KEITH M ASHBY MD

Original Issue Date

03/01/1988

Effective Date

03/01/1988

Expiration Date

07/31/2005

City

CHICAGO

State

Zip

60619

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006