ALISON CARROLL KEENAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036147229

License Status

NOT RENEWED

Business

Title

First Name

ALISON

Middle

CARROLL

Last Name

KEENAN

Business Name

ALISON CARROLL KEENAN MD

Original Issue Date

08/15/2018

Effective Date

08/15/2018

Expiration Date

09/30/2020

City

ROCKFORD

State

Zip

61104

Ever Disciplined

LastModifiedDate

01/14/2021