JOHN B KELLER Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****95

License Status

ACTIVE

Business

First Name

JOHN B

Last Name

KELLER

Business Name

JOHN B KELLER

Original Issue Date

04/21/1992

Effective Date

09/24/2024

Expiration Date

09/30/2027

City

MAPLETON

State

Zip

61547

County

MCLEAN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/24/2024