KEITH S NEAL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036076484

License Status

NOT RENEWED

Business

First Name

KEITH S

Last Name

NEAL

Suffix

Business Name

KEITH S NEAL MD

Original Issue Date

12/22/1987

Effective Date

12/22/1987

Expiration Date

07/31/1990

City

PEORIA

State

Zip

61615

County

PEORIA

Ever Disciplined

LastModifiedDate

09/20/2006