MICHAEL JAMES KELLER MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125050783

License Status

EXPIRED

Business

First Name

MICHAEL

Middle

JAMES

Last Name

KELLER

Suffix

Business Name

MICHAEL JAMES KELLER MD

Original Issue Date

06/17/2006

Effective Date

06/17/2006

Expiration Date

06/16/2009

City

ELK GROVE VILLAGE

State

Zip

60007

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

07/15/2009