KEITH E KNEPP Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125035672

License Status

CANCELLED

Business

First Name

KEITH

Middle

Last Name

KNEPP

Business Name

KEITH E KNEPP

Original Issue Date

04/23/1997

Effective Date

04/23/1997

Expiration Date

06/30/2000

City

PEORIA

State

Zip

61602

County

PEORIA

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006