KEITH K NAM MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****16

License Status

NOT RENEWED

Business

First Name

KEITH K

Last Name

NAM

Suffix

Business Name

KEITH K NAM MD

Original Issue Date

01/01/1997

Effective Date

07/28/2020

Expiration Date

07/31/2023

City

RIVERWOODS

State

Zip

60015

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023