JOHN CHARLES KEITH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****61

License Status

NOT RENEWED

Business

First Name

JOHN

Middle

CHARLES

Last Name

KEITH

Suffix

Business Name

JOHN CHARLES KEITH MD

Original Issue Date

10/02/2006

Effective Date

10/02/2006

Expiration Date

07/31/2008

City

BERWYN

State

Zip

60402

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2011