KENNETH JAMES KELLER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036125563

License Status

NOT RENEWED

Business

First Name

KENNETH

Middle

JAMES

Last Name

KELLER

Suffix

Business Name

KENNETH JAMES KELLER MD

Original Issue Date

04/26/2010

Effective Date

04/15/2014

Expiration Date

07/31/2017

City

PHOENIX

State

Zip

85050

County

ARIZONA

Ever Disciplined

LastModifiedDate

11/01/2017