DAVID WILLIAM KEETCH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036104975

License Status

NOT RENEWED

Business

First Name

DAVID

Middle

WILLIAM

Last Name

KEETCH

Suffix

Business Name

DAVID WILLIAM KEETCH MD

Original Issue Date

06/14/2001

Effective Date

06/15/2017

Expiration Date

09/30/2020

City

MARYVILLE

State

Zip

62062

County

MADISON

Ever Disciplined

LastModifiedDate

01/14/2021