KEITH EUGENE ISENBERG MD - Medical Doctor License in Missouri | # 036102633

KEITH EUGENE ISENBERG MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036102633

License Status

NOT RENEWED

Business

N

First Name

KEITH

Middle

EUGENE

Last Name

ISENBERG

Suffix

MD

Business Name

KEITH EUGENE ISENBERG MD

Original Issue Date

06/07/2000

Effective Date

06/07/2000

Expiration Date

07/31/2002

State

MO

Ever Disciplined

N

LastModifiedDate

10/09/2006