EMILY MARIE KELLER MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125059577

License Status

CANCELLED

Business

Title

First Name

EMILY

Middle

MARIE

Last Name

KELLER

Business Name

EMILY MARIE KELLER MD

Original Issue Date

06/24/2011

Effective Date

06/24/2011

Expiration Date

06/23/2014

City

OAK LAWN

State

Zip

60453

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

04/25/2011