BRETT LEE KELLER DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036110898

License Status

ACTIVE

Business

First Name

BRETT

Middle

LEE

Last Name

KELLER

Suffix

Business Name

BRETT LEE KELLER DO

Original Issue Date

03/02/2004

Effective Date

04/15/2023

Expiration Date

07/31/2026

City

BLOOMINGTON

State

Zip

61701

County

MCLEAN

Ever Disciplined

LastModifiedDate

04/15/2023