JOLIE GUEVARA KEENAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****65

License Status

NOT RENEWED

Business

Title

First Name

JOLIE

Middle

GUEVARA

Last Name

KEENAN

Business Name

JOLIE GUEVARA KEENAN MD

Original Issue Date

03/28/2018

Effective Date

03/28/2018

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60608

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

01/14/2021