KEITH FRANCIS LACEY MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036110366

License Status

INACTIVE

Business

First Name

KEITH

Middle

FRANCIS

Last Name

LACEY

Suffix

Business Name

KEITH FRANCIS LACEY MD

Original Issue Date

10/27/2003

Effective Date

05/10/2011

Expiration Date

07/31/2014

City

FORT DODGE

State

Zip

50501

County

IOWA

Ever Disciplined

LastModifiedDate

04/08/2014