DEANNE JEANETTE KEIM DPM Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****55

License Status

NOT RENEWED

Business

First Name

DEANNE

Middle

JEANETTE

Last Name

KEIM

Suffix

DPM

Business Name

DEANNE JEANETTE KEIM DPM

Original Issue Date

06/12/2000

Effective Date

06/12/2000

Expiration Date

01/31/2003

City

NORRIDGE

State

Zip

60706

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006