TERRY J KEIFER Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****39

License Status

NOT RENEWED

Business

First Name

TERRY

Middle

Last Name

KEIFER

Business Name

TERRY J KEIFER

Original Issue Date

07/14/2003

Effective Date

04/17/2008

Expiration Date

07/31/2011

City

CHICAGO

State

Zip

60661

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020