KENDALL JOHN KECK MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

VISITING PHYSICIAN PERMIT

License Number

106000573

License Status

EXPIRED

Business

Title

First Name

KENDALL

Middle

JOHN

Last Name

KECK

Business Name

KENDALL JOHN KECK MD

Original Issue Date

11/15/2021

Effective Date

11/15/2021

Expiration Date

12/10/2021

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Specialty/Qualifier

Hand Surgery(Surgery)

Ever Disciplined

LastModifiedDate

10/04/2021