MATTHEW STEVEN KEENE DPM Podiatrist License verification

Business Entity

EXPIRED

License Type

Podiatrist

Description

TEMPORARY PODIATRIC PHYSICIAN

License Number

135000530

License Status

EXPIRED

Business

First Name

MATTHEW

Middle

STEVEN

Last Name

KEENE

Suffix

DPM

Business Name

MATTHEW STEVEN KEENE DPM

Original Issue Date

06/16/2003

Effective Date

06/16/2003

Expiration Date

06/30/2004

City

NORTH CHICAGO

State

Zip

60064

County

LAKE

Ever Disciplined

LastModifiedDate

02/06/2009