KEITH EARL CAMPBELL MD - Medical Doctor License in Tennessee | # 036110064

KEITH EARL CAMPBELL MD

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036110064

License Status

INACTIVE

Business

N

First Name

KEITH

Middle

EARL

Last Name

CAMPBELL

Suffix

MD

Business Name

KEITH EARL CAMPBELL MD

Original Issue Date

09/08/2003

Effective Date

09/08/2003

Expiration Date

07/31/2005

State

TN

Ever Disciplined

N

LastModifiedDate

10/09/2006