TODD OWEN KETTERING DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036123240

License Status

ACTIVE

Business

Title

First Name

TODD

Middle

OWEN

Last Name

KETTERING

Business Name

TODD OWEN KETTERING DO

Original Issue Date

04/21/2009

Effective Date

04/26/2023

Expiration Date

07/31/2026

City

BLOOMINGTON

State

Zip

61701

County

MCLEAN

Ever Disciplined

LastModifiedDate

04/26/2023