KEITH JEREMY WOLFE MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****84

License Status

ACTIVE

Business

First Name

KEITH

Middle

JEREMY

Last Name

WOLFE

Suffix

Business Name

KEITH JEREMY WOLFE MD

Original Issue Date

07/03/2013

Effective Date

06/26/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60613

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/26/2023