KEITH T OLDHAM MD - Medical Doctor License in Wisconsin | # 036100250

KEITH T OLDHAM MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036100250

License Status

NOT RENEWED

Business

N

Title

MD

First Name

KEITH

Middle

T

Last Name

OLDHAM

Business Name

KEITH T OLDHAM MD

Original Issue Date

05/24/1999

Effective Date

05/02/2011

Expiration Date

07/31/2014

State

WI

Ever Disciplined

N

LastModifiedDate

09/10/2015