KEITH L CALLAHAN 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

KEITH

Middle

Last Name

CALLAHAN

Suffix

Business Name

KEITH L CALLAHAN MD

Original Issue Date

07/07/1999

Effective Date

07/07/1999

Expiration Date

07/31/2008

City

AURORA

State

Zip

60504

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/06/2008