JOHN D KELLER IV DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****81

License Status

ACTIVE

Business

First Name

JOHN

Middle

Last Name

KELLER

Suffix

IV DDS

Business Name

JOHN D KELLER IV DDS

Original Issue Date

06/30/1993

Effective Date

08/16/2024

Expiration Date

09/30/2027

City

ROSCOE

State

Zip

61073

County

WINNEBAGO

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/16/2024