KEELY FISCHBACH MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036162510

License Status

ACTIVE

Business

Title

First Name

KEELY

Last Name

FISCHBACH

Business Name

KEELY FISCHBACH MD

Original Issue Date

10/04/2022

Effective Date

06/16/2023

Expiration Date

07/31/2026

City

CARLINVILLE

State

Zip

62626

County

MACOUPIN

Ever Disciplined

LastModifiedDate

09/28/2023