ERIN JEAN KEECH Physician Assistant License verification

Business Entity

INOPERATIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****04

License Status

INOPERATIVE

Business

First Name

ERIN

Middle

JEAN

Last Name

KEECH

Business Name

ERIN JEAN KEECH

Original Issue Date

01/02/2007

Effective Date

02/09/2016

Expiration Date

03/01/2018

City

ELK GROVE VILLAGE

State

Zip

60007

County

COOK

Ever Disciplined

LastModifiedDate

05/02/2018