RICHARD SCOTT KELLER MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125016179

License Status

EXPIRED

Business

Title

First Name

RICHARD

Middle

SCOTT

Last Name

KELLER

Business Name

RICHARD SCOTT KELLER MD

Original Issue Date

07/08/1983

Effective Date

07/08/1983

Expiration Date

07/01/1985

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Urology

Ever Disciplined

LastModifiedDate

09/22/2006