KEITH W SCHMIDT Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****97

License Status

NOT RENEWED

Business

First Name

KEITH

Middle

Last Name

SCHMIDT

Business Name

KEITH W SCHMIDT

Original Issue Date

12/05/2012

Effective Date

12/05/2012

Expiration Date

07/31/2014

City

MOKENA

State

Zip

60448

County

WILL

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020