KEITH RAYMOND THULBORN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****90

License Status

ACTIVE

Business

First Name

KEITH

Middle

RAYMOND

Last Name

THULBORN

Suffix

Business Name

KEITH RAYMOND THULBORN MD

Original Issue Date

04/24/2001

Effective Date

06/01/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60612

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/01/2023