KEITH R THOMAE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****69

License Status

NOT RENEWED

Business

First Name

KEITH R

Last Name

THOMAE

Suffix

Business Name

KEITH R THOMAE MD

Original Issue Date

09/06/1990

Effective Date

09/06/1990

Expiration Date

07/31/1993

City

MAYWOOD

State

Zip

60153

County

COOK

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

04/05/2020