DOUGLAS MARTIN KELLER Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019031689

License Status

ACTIVE

Business

First Name

DOUGLAS

Middle

MARTIN

Last Name

KELLER

Business Name

DOUGLAS MARTIN KELLER

Original Issue Date

06/06/2018

Effective Date

09/24/2024

Expiration Date

09/30/2027

City

FRANKFORT

State

Zip

60423

County

WILL

Ever Disciplined

LastModifiedDate

09/24/2024