KEITH R GABRIEL MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036078399

License Status

ACTIVE

Business

First Name

KEITH R

Last Name

GABRIEL

Suffix

Business Name

KEITH R GABRIEL MD

Original Issue Date

02/03/1989

Effective Date

05/02/2023

Expiration Date

07/31/2026

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Ever Disciplined

LastModifiedDate

05/02/2023