KEITH L HARLAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****84

License Status

NOT RENEWED

Business

First Name

KEITH L

Last Name

HARLAN

Suffix

Business Name

KEITH L HARLAN MD

Original Issue Date

02/28/1992

Effective Date

07/28/2008

Expiration Date

07/31/2011

City

CHICAGO

State

Zip

60616

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/12/2017