DAVID EUGENE KEENE MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125055191

License Status

EXPIRED

Business

Title

First Name

DAVID

Middle

EUGENE

Last Name

KEENE

Business Name

DAVID EUGENE KEENE MD

Original Issue Date

07/01/2008

Effective Date

07/01/2008

Expiration Date

06/30/2011

City

PEORIA

State

Zip

61602

County

PEORIA

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

07/19/2011