DEANNE JEANETTE KEIM DPM Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016004958

License Status

NOT RENEWED

Business

First Name

DEANNE

Middle

JEANETTE

Last Name

KEIM

Suffix

DPM

Business Name

DEANNE JEANETTE KEIM DPM

Original Issue Date

04/25/2000

Effective Date

04/25/2000

Expiration Date

01/31/2003

City

NORRIDGE

State

Zip

60706

County

COOK

Ever Disciplined

LastModifiedDate

10/09/2006