KEITH DEAN STOTTLEMYER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036060823

License Status

NOT RENEWED

Business

First Name

KEITH DEAN

Last Name

STOTTLEMYER

Suffix

Business Name

KEITH DEAN STOTTLEMYER MD

Original Issue Date

08/29/1980

Effective Date

08/29/1980

Expiration Date

07/01/1982

City

OFALLON

State

Zip

62269

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

09/20/2006