DARREL DAVID KELLER DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****61

License Status

NOT RENEWED

Business

First Name

DARREL DAVID

Last Name

KELLER

Suffix

DMD

Business Name

DARREL DAVID KELLER DMD

Original Issue Date

01/01/1998

Effective Date

09/09/2009

Expiration Date

09/30/2012

City

NASHVILLE

State

Zip

62263

County

WASHINGTON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/14/2012