KEITH S WEXLER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****57

License Status

NOT RENEWED

Business

First Name

KEITH S

Last Name

WEXLER

Suffix

Business Name

KEITH S WEXLER MD

Original Issue Date

11/26/1996

Effective Date

11/26/1996

Expiration Date

07/31/1999

City

CHICAGO

State

Zip

60616

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2011