KEITH L CALLAHAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****54

License Status

NOT RENEWED

Business

First Name

KEITH

Middle

Last Name

CALLAHAN

Suffix

Business Name

KEITH L CALLAHAN MD

Original Issue Date

05/11/1998

Effective Date

05/11/1998

Expiration Date

07/31/2002

City

CHICAGO

State

Zip

60625

County

COOK

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

10/09/2006