RYAN JAMES KELLER DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125051170

License Status

CANCELLED

Business

First Name

RYAN

Middle

JAMES

Last Name

KELLER

Suffix

Business Name

RYAN JAMES KELLER DO

Original Issue Date

06/24/2006

Effective Date

06/24/2006

Expiration Date

06/23/2009

City

RIVERSIDE

State

Zip

60546

County

COOK

Specialty/Qualifier

Anesthesiology

Ever Disciplined

LastModifiedDate

09/22/2006