KEITH THOMAS CORPUS MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036148410

License Status

ACTIVE

Business

Title

First Name

KEITH

Middle

THOMAS

Last Name

CORPUS

Business Name

KEITH THOMAS CORPUS MD

Original Issue Date

03/01/2019

Effective Date

04/07/2023

Expiration Date

07/31/2026

City

PEORIA

State

Zip

61605

County

PEORIA

Ever Disciplined

LastModifiedDate

04/07/2023