KEITH A KECK MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036066608

License Status

NOT RENEWED

Business

First Name

KEITH A

Last Name

KECK

Suffix

Business Name

KEITH A KECK MD

Original Issue Date

06/01/1983

Effective Date

06/01/1983

Expiration Date

07/31/1984

City

PEORIA

State

Zip

61603

County

PEORIA

Ever Disciplined

LastModifiedDate

09/20/2006