JAY SHANNON KELLER MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036130109

License Status

ACTIVE

Business

Title

First Name

JAY

Middle

SHANNON

Last Name

KELLER

Business Name

JAY SHANNON KELLER MD

Original Issue Date

04/17/2012

Effective Date

06/27/2023

Expiration Date

07/31/2026

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

06/27/2023