JOHN JEFFREY KEITH MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125013289

License Status

EXPIRED

Business

First Name

JOHN JEFFREY

Last Name

KEITH

Suffix

Business Name

JOHN JEFFREY KEITH MD

Original Issue Date

07/14/1981

Effective Date

07/14/1981

Expiration Date

07/01/1983

City

PEORIA

State

Zip

61637

County

PEORIA

Specialty/Qualifier

Family Practice & OMT

Ever Disciplined

LastModifiedDate

09/22/2006