GWENN S O'KEEFFE Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****93

License Status

NOT RENEWED

Business

First Name

GWENN S

Last Name

O'KEEFFE

Business Name

GWENN S O'KEEFFE

Original Issue Date

03/12/1996

Effective Date

03/12/1996

Expiration Date

07/31/2002

City

NORTH CHICAGO

State

Zip

60064

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006