KEITH REYNOLDS WARREN 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

Title

First Name

KEITH

Middle

REYNOLDS

Last Name

WARREN

Business Name

KEITH REYNOLDS WARREN MD

Original Issue Date

06/09/2010

Effective Date

05/08/2014

Expiration Date

07/31/2017

City

ELK GROVE VILLAGE

State

Zip

60007

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017