DARREL DAVID KELLER DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019016016

License Status

NOT RENEWED

Business

First Name

DARREL DAVID

Last Name

KELLER

Suffix

DMD

Business Name

DARREL DAVID KELLER DMD

Original Issue Date

06/29/1977

Effective Date

09/25/2015

Expiration Date

09/30/2018

City

NASHVILLE

State

Zip

62263

County

WASHINGTON

Ever Disciplined

LastModifiedDate

10/31/2018