KEITH R BOYD MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****18

License Status

NOT RENEWED

Business

First Name

KEITH

Middle

Last Name

BOYD

Suffix

Business Name

KEITH R BOYD MD

Original Issue Date

06/13/2008

Effective Date

04/21/2014

Expiration Date

07/31/2017

City

CHICAGO

State

Zip

60614

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020