CORPIA CHANTLE KEYES MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****58

License Status

NOT RENEWED

Business

Title

First Name

CORPIA

Middle

CHANTLE

Last Name

KEYES

Business Name

CORPIA CHANTLE KEYES MD

Original Issue Date

08/03/2020

Effective Date

08/03/2020

Expiration Date

07/31/2023

City

BATAVIA

State

Zip

60510

County

KANE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023