KEITH DAVID CLANCY MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036090092

License Status

ACTIVE

Business

First Name

KEITH

Middle

DAVID

Last Name

CLANCY

Suffix

Business Name

KEITH DAVID CLANCY MD

Original Issue Date

01/12/1995

Effective Date

08/07/2023

Expiration Date

07/31/2026

City

JACKSONVILLE BEACH

State

Zip

32250

Ever Disciplined

LastModifiedDate

08/07/2023