TERRY J KEIFER Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036105676

License Status

NOT RENEWED

Business

First Name

TERRY

Middle

Last Name

KEIFER

Business Name

TERRY J KEIFER

Original Issue Date

10/04/2001

Effective Date

06/21/2017

Expiration Date

09/30/2020

City

ROSEVILLE

State

Zip

95747

County

MINNESOTA

Ever Disciplined

LastModifiedDate

01/14/2021