KEITH A FREY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036063312

License Status

NOT RENEWED

Business

First Name

KEITH A

Last Name

FREY

Suffix

Business Name

KEITH A FREY MD

Original Issue Date

10/01/1981

Effective Date

10/01/1981

Expiration Date

07/01/1982

City

FAIRVIEW HEIGHTS

State

Zip

62208

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

07/20/2009