KENDALL JOHN KECK MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036165631

License Status

ACTIVE

Business

Title

First Name

KENDALL

Middle

JOHN

Last Name

KECK

Business Name

KENDALL JOHN KECK MD

Original Issue Date

06/30/2023

Effective Date

06/30/2023

Expiration Date

07/31/2026

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Ever Disciplined

LastModifiedDate

06/09/2023