KEITH A MOSS MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036105851

License Status

ACTIVE

Business

First Name

KEITH

Middle

Last Name

MOSS

Suffix

Business Name

KEITH A MOSS MD

Original Issue Date

11/15/2001

Effective Date

06/07/2023

Expiration Date

07/31/2026

City

O FALLON

State

Zip

62269

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

06/07/2023