KEITH A HORVATH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****37

License Status

NOT RENEWED

Business

First Name

KEITH A

Last Name

HORVATH

Suffix

Business Name

KEITH A HORVATH MD

Original Issue Date

08/30/1996

Effective Date

08/30/1996

Expiration Date

07/31/2005

City

CHICAGO

State

Zip

60611

County

COOK

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

10/09/2006